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BUILDING PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION: (P) 425.257.88101 (E) everetteps@everettwa.gov I (W) everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATI N PROJECT SITE ADDRESS: STREET TTTtY-S6n 1) PARCEL #: ©O i (O b 13 1 t )DC) Lt E� ear CITY sTATe A ZIP 'Z SUITEIUNIT #: FLOOR #: ADDITIONAL LOCATION INFORMATION (if applicable): Legal Description (Additional legal description lines may be on file.) Section 97 Township 29 Range 05 Quarter SE — LEGION PA i . RK ADD BLK 139 D-04 - LOT 1 COE SP 1202-027-07 AFN 200804225177 BEING PTN OF TRS A & B SD PLAT --- - CONTACT INFORMATION OWNER NAME: 1 CJL.1t'vo OWNER MAILING ADDRESS: STREET �j I V-10 ' j 0 C\ L71 U 4?. CV -CITY STATE ZIP OWNER PHONE:` ,1 05 `J L-;'CO'L OWNER EMAIL: aa_..Sod' L 0v`0 i . v Yv�5 r tv VA CONTRACTOR COMPANY NAME: L�tQ O r� d/ Iito A STATE CONTRACTOR LICENSE #(REQUIRED): CITY O EVEtR`E,TT BUSINESS LICENSE #(REQUIRED): -� �' ` CONTRACTOR ADDRESS: STREET _ L � AkQ'�e c� ` V ECITY STATE zip �J / - CONTRACTOR PHONE: �7 �`J 50 16 i (o rL.�- CONTRACTOR EMAIL: TCL^9�. Sit, In LD WN., PRIMARY CONTACT: WNER ❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: J CL ,r�Q, S p f i cX r1 CONTACT PHONE: y� 45L4 CONTACT EMAIL: 7j'a VW r.5 1> r t &V-,0 ""'� ms r\ , c v.A, BUILDING INFORMATION VALUATION OF WORK: $ \15 1000 ASSOCIATED LAND USE PROJECT # if a icable : (Valuation shag include the prove" fair market value of al labor, materials, and equipment needed to complete the work, whether actualy paid or not.) EXISTING USE OF BUILDING: 14 0,-v-, e.. PROPOSED USE OF BUILDING: HEAT SOURCE: [--]Gas KElectric []Other BUILDING TYPE: XSFR ❑Townhouse []Duplex ❑ADU []Multi -Family - # Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT (check all that apply) : []New Construction JKAddition ❑Remodel ❑Repair ❑T.l. ❑Change of Use ❑Modular ❑Portable ❑Re -roof ❑Exterior Alteration ❑Tank (above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑PoollHot Tub ❑Tank (above ground) ❑Other. DESCRIPTION OF WORK: I am hoping to enlarge my living room and add a porch in front of my existing living room on the west side of my house. The amount to be added to the living room is approximately, 18 feet wide by 9 feet deep, with the porch in front of that, which is 18 feet wide by ?, feet deep, to side setback. I am also hoping to add an extra 12 x 12 reading room next to the living room addition, in front of my existing office, also on the west side of my house with a second story room looking out to the view of Puget Sound. The second story tower is 12 x 12 with a deck to side setback lines. ACKNOWLEDGEMENT.• I have reviewed this application and confirm the Information contained herein /s We and correct Work done puratand to this permit must comply with anent federal, state, and local law. The granting of a permit only authorizes approved work and no deviations therefrom. Deviations must Ird be authorized in writing from the A ---ILL - — J- Building Otflc/a/ before being autnonZea under any crrcumsmnce. r am ire owner, or r am auernmumw uy um ummr w uma fn upa w w four FLffm o.v ..w..." WFjPW r PF.r.....o.M 1 and 1 with a to C�rrtra Law 1e.27 f�cw ana 29s.2� �NC1.ZI /(`� / City of Everett tAM Only n PERMIT if , r4? .7 30 1 'b Zl a-3 -6 l Agent Slpna Date(Revised 021 /