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• <br /> BUILDING PERMIT APPLICATION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <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 1(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 2317 Virginia Ave PARCEL#: <br /> cm( Everett STATE WA ZIP 98201 <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: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Rodney & Dawn McKenna <br /> OWNER MAILING ADDRESS: STREET 2317 Virginia Ave <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR COMPANY NAME:West Peak Builders Inc <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):WESTPPB81 3B4 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 63711 <br /> CONTRACTOR ADDRESS: sTREET4518 84TH ST NE <br /> CITY MARYSVILLE STATE WA ZIP 98270 <br /> CONTRACTOR PHONE:425-363-1011 CONTRACTOR EMAIL:OFFICE@WESTPEAKBUILDERS.COM <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-363-1011 <br /> BENJAMIN CONANT CONTACT EMAIL:OFFICE@WESTPEAKBUILDERS.COM <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: woo-0 2L, L ASSOCIATED LAND USE PROJECT#(if applicable): <br /> (Valuation shut include the prevailing fair market value of at labor,materials,and equipment needed to complete the work,whether actually paid or not.) <br /> EXISTING USE OF BUILDING:NONE <br /> PROPOSED USE OF BUILDING:GARAGE <br /> HEAT SOURCE: ❑Gas ❑Electric ❑Other <br /> BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex EADU ❑Multi-Family-#Units: ECommercial ❑✓Accessory Structure <br /> TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Change of Use <br /> EModular ❑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:18' X 22' DETACHED GARAGE W/ 10' SIDE WALLS & TRUSSED ROOF <br /> (2) 7' WIDE ROLL UP DOORS FACING THE ALLEY AND (1) MAN DOOR ON <br /> NORTH SIDE <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 I 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 /> City of Everett Official Use Only <br /> PERMIT#B2201 -062 <br /> 03/22/2022 <br /> Owner/Authorized Agent Signature Date (Revised 2/8/2021) <br /> l,� <br />