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1632 BAKER AVE 2023-12-27
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1632 BAKER AVE 2023-12-27
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Last modified
12/27/2023 8:41:39 AM
Creation date
12/8/2023 11:10:21 AM
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Address Document
Street Name
BAKER AVE
Street Number
1632
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BUILDING PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT <br /> 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 1 (E)everetteps@everettwa.gov I (W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 1632 Baker Ave PARCEL M <br /> CITY Everett STATE WA z,P 98201 <br /> SUITE/UNIT M FLOOR M ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(if non-residential): <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Elaina Schwennsen/ Nik Pfeifer <br /> OWNER MAILING ADDRESS: STREET 1632 Baker Ave <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE:206321 7477 OWNER EMAIL: elainaschwennsen@gmail.com <br /> CONTRACTOR COMPANY NAME:SELF - Homeowner <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> PRIMARY CONTACT: I]OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: <br /> Elaina Schwennsen CONTACT EMAIL: <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $2000 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: <br /> HEAT SOURCE: [-]Gas ❑Electric ❑Other <br /> BUILDING TYPE: OSFR ❑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:Replacing drywall for exposed areas with plumbing and electrical updates, drywall <br /> permit not building OK per Steve Banks confirmed with Jason the plumbing inspector. <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 local law. 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 being authorized under any circumstance.I am the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> Digitally signed by Elaina City of Everett Official Use Only <br /> Elaina S hwennsen <br /> DN:cn=Elaina Schwennsen, PERMIT# <br /> Schwennsen c-us,n <br /> email=elaina@dcgengr.com <br /> Date:2022.02.18 15:09:15-08'00' <br /> Owner/Authorized Agent Signature Date (Revised 2/8/2021) <br />
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