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NNE <br /> B•DING PERMIT APPLICA.N 0 <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, <br /> WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. <br /> CONTACT INFORMATION: (P)425.257.8810 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 3202 51st Place SW PARCEL#: 00815700000400 <br /> CITY Everett, STATE WA zip 98203 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME (if non-residential): <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: SEABROOKE HIGHLANDS BLK 000 D-00 Lot No.: Lot 4 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Kapil& Uma Kataria <br /> OWNER MAILING ADDRESS: STREET 3202 51st Place SW <br /> CITY Everett, STATE WA ZIP 98203 <br /> pa ^ <br /> OWNER PHONE: OWNER EMAIL: IA. E v,, c� 4T "' I �a (C� 1"1 <br /> CONTRACTOR COMPANY NAME:In the Light Construction Management, LLC t <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):LIGHTLC829PQ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> CONTRACTOR ADDRESS: STREET302 N. 188th Street, <br /> CITY Shoreline STATE WA ZIP 98133 <br /> CONTRACTOR PHONE:206 898 1417 CONTRACTOR EMAIL:lesusspiritrefreshes@Gmail.com <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Architect <br /> CONTACT NAME: CONTACT PHONE:425 778 5400 <br /> Tony Shapiro, NCARB, AD Shapiro Architects CONTACT EMAIL:tonys@adshapiro.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $30,000.00 ASSOCIATED LAND USE PROJECT#(if applicable): <br /> (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) <br /> EXISTING USE OF BUILDING:Single Family Residence <br /> PROPOSED USE OF BUILDING:No change <br /> HEAT SOURCE: ❑✓Gas ❑Electric ❑Other existing gas furnace to be utilized <br /> BUILDING TYPE: ❑✓SFR ❑Townhouse Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> TYPE OF PROJECT(check all that apply): ❑New Construction ✓❑Addition ❑Remodel ❑Repair ❑T.I. ❑Change of Use <br /> ❑Modular ❑Portable ❑Re-roof ❑✓Exterior Alteration ❑Tank(above ground) ❑Accessory Structure <br /> ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: <br /> DESCRIPTION OF WORK:Add additional main floor single story area of 103 gsf to house a new bathroom and <br /> closet at the existing bedroom, by expanding the house footprint at the SW corner of <br /> the house. <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with <br /> current federal,state,and loci"7 / The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official before bein, authon�'d under any circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and 1 comply with the —ate 'ontr-^* •: Law 18.27 RCW and 296.200A WAC. <br /> 1111 <br /> City of Everett Official Use Only <br /> PERMIT# <br /> , 02/23/22 kck <br /> Owner/Aut. .:.ad A' 1 t Sic iature Date (Revised 2/8/2021) <br />