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1027 LOMBARD AVE 2024-02-14
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1027 LOMBARD AVE 2024-02-14
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2/14/2024 12:00:48 PM
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2/14/2024 12:00:15 PM
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Address Document
Street Name
LOMBARD AVE
Street Number
1027
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NM <br /> num BOLDING PERMIT APPLICAllipN <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 /> WASH INGTON 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)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 /> c,, ' Everett STATE Wa ZIP 98201 <br /> SUITE/UNIT#: N/A FLOOR#: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) <br /> CONTACT INFORMATION <br /> OWNER NAME:Ian/Amber Douglas <br /> OWNER MAILING ADDRESS: STREET 2927 167th st se <br /> clTv Bothell STATE Wa ZIP 98012 <br /> OWNER PHONE:206-920-7531 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 /> CITY Everett STATE Wa ZIP 98201 <br /> CONTRACTOR PHONE:425-742-5655 CONTRACTOR EMAIL:Info@Smartbulldingservlcesllc.com <br /> PRIMARY CONTACT: 0 OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-742-5655 <br /> Jap ' hards CONTACT EMAIL:info@smartbuildingserviceslIc.com <br /> :`'l ) BUILDING INFORMATION <br /> VALUATION OF RK: $81,941.32 ` ASSOCIATED LAND USE PROJECT#(if applicable): <br /> (Valuation shall includ evailing fair market value of labor,materials,and equipment needed to complete the work,whether actually paid or not.) <br /> EXISTING USE F BUILDING:SFR <br /> PROPOSED USE : FR <br /> HEAT SOURCE: EGas ❑✓Electric ❑Other <br /> BUILDING TYPE: ✓❑SFR ETownhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition (:]Remodel ❑Repair ❑T.I. EChange of Use <br /> ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure <br /> ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ElTank(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-install cabinets 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 /> V- c-- VC-11 VCA. U•CLC-N-A, CAr\- CiL4_,.A&\_ e_____ <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit r>�ust omply with <br /> current federal,state,and local law. The granting of a permit only authorizes approved wor an no deviations th from.Deviations must first be orized in writing from the <br /> Building icial before being authorized under an "cumstance.I am t caner,or I a autho 'zed by the ow er this property t erform the or for which application is made, <br /> and I co ly with th State Co tr tors Law 18 7 R W and 296.200 W . <br /> Ci of E rett Offici Use Onl <br /> P RM �—� <br /> Own r/Aut ri ed Agent ignature Date (Revised 4/21/2022) <br />
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