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BODING PERMIT APPLICATIJ <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)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 1027 Lombard ave PARCEL#: 29051700205400 <br /> cn' Everett STATE We zip 98201 <br /> SUITE/UNIT#: N/A FLOG #: basement ' 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) 1 <br /> CONTACT INFORMATION <br /> OWNER NAME:Ian/Amber Douglas <br /> OWNER MAILING ADDRESS: STREET 2927 167th st se <br /> CITY Bothell STATE Wa ZIP 98012 <br /> OWNER PHONE:2O6-920-7531 OWNER EMAIL: ian.c.douglas©gmail.com <br /> CONTRACTOR COMPANY NAME:Smart Building Services <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):CCSMRTBS851 RQ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 62058 <br /> CONTRACTOR ADDRESS: sTREET2815 Baker STE201 <br /> clry Everett STATE Wa zip 98201 <br /> CONTRACTOR PHONE:425-742-5655 CONTRACTOR EMAIL:info©SmartbUlldlfgserViCeslIC.COI71 <br /> PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-742-5655 <br /> J a p h eth Richards CONTACT EMAIL:info@smartbuildingservicesllc.com <br /> BUILDING INFORMATION <br /> 1 $91.32 ( <br /> VALUATION OF WORK: $ �� �l"�L� y u 3 :2 . ASSOCIATED LAND USE PROJECT#(if applicable): <br /> (Valuation shall include the prevailing fair market value of all Ibor,materials,and equipment needed to complete the work,whether actually paid or not.) <br /> r <br /> EXISTING USE OF BUILDING:SFR ` "u g L c6t42_ (gq2 5 <br /> PROPOSED USE OF BUILDING:SFR tL A <br /> HEAT SOURCE: ❑Gas ❑✓Electric ❑Other <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:*Build back basement to code into a useable space as a SFR* Move Street facing Garage wall back to allow for 35' <br /> of parking for 2 off street parking spaces* Licensed Electrician move Panel to common area and to Bring basement <br /> to code*Licensed plumber to Reinstall bathroom to code*Re-Install walls and insulation* Re-install flooring* <br /> Re-instal abinets for additional storage*Basement bill be wired for a laundry and an additional refrigerator <br /> ** install new dry wall on ceiling (with city approval will be 6 ' 3/4 " of clearance with Dry wall) <br /> er- Vja$4\4'jqk Ct WC-WI/LA.424,r •-\13 <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this it 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 /> PST# <br /> / /A71., s.,--/.09\;), 22 OLS <br /> Owner/Authorized Agent Signature ate (Revised 4/21/2022) <br />