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Et• BLD iNG PERMIT APPUCATIM <br /> CITY OF EVERETT PERlN I SERVICES M+' <br /> EVERETT S TIAL INSTRUCTIONS:See ap ie s xn d for LEZI <br /> WASHINGTON then drop cif completed application pkrs aft required subreiftd documents b'32OQ&liar Street r l p �X' <br /> CONTACT�TION 2i:(P)4 / 1011E) 1(W) •9+J� _ Q <br /> ACT SITE MiFCIRMATION <br /> {Afire o rB��r Ckd�rPla� <br /> r <br /> 'PROJECT SITE ADDRESS: sieetr 1522 u L 1� PARCE3#: 29051700400700 <br /> cfrr EVERETT STATE WA ZIP 98201 <br /> SUITE/UNIT! FLOOR lk ADDITICOIAL LOCATION INFORMATION(if applicable): <br /> TENANTS NAME �) <br /> LEGAL DESCRIPTION N for new construchott Short _ Lot Na: (attach copy of long legal description) ' <br /> CONTACT INFORMATION <br /> OWNER NAME:NORTH SOUND PROPERTIES LLC <br /> OWNER MAILING : s imtt 694 13TH WAY SW <br /> c ly EDMOiNDS s7ATE WA zp 98020 <br /> OWNER PHONE:(206)661-7504 Ems: NOSOPROPOGMAILCOM <br /> CONTRACTOR COMPANY NAME: <br /> WA STATE CONTRACTOR LSE IKREQUIREM 'CITY OF EVERETT BUSKIESS c r ENS S(REQUIRED): <br /> CONTRACTOR ADDRESS: s/H i <br /> GOY STATE ZIP <br /> CONTRACTOR PHONE: kONTRACTOR Ems-: <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME CONTACT PHONE(206)661-7504 <br /> AN DY SUMMERS CONTACT MAEEt_NOSOPROP@GMAIL.COM <br /> BUILDING INFORMATION <br /> VALUATION OF WORK:$2000 'ASSOCIATED LAND USE PROJECT#Of ale): <br /> (Valuation slam Mcide the;reveling bimadtet value of al labor,materials,and equipment needed ffi complete Yse auk,,ehether achy paid or not) <br /> EXISTING USE OF BUILDING:SFR <br /> PROPOSED USE OF EBiAL.DRIG:SFR <br /> HEAT SOURCE: DGas IZIBechic Daher <br /> BUILDING TYPE: iZISFR I fQwnhouse 0Duplek [AIX! Aed9 Far y-#Ih : 0Commertial 0Amcessory Structure <br /> 'TYPE OF PROJECT(check al that apply): [New Construction DAddlion ORemcdel atepair 0 t-i. I lge of Use <br /> Ottodular Oftrtabie rocif Alteration Dtank(above glatfld) 0Accesscvy Structure <br /> ❑Fence over 7ft high DRackStorage EPockflot Tub UTank(above ground) alther CODE ViOl ATION CORRECTION <br /> DESCRIPTION OF WORK:REMOVE 1 SIDE OF WALL MARKED 1.(WEST BATHROOM WALL)AND 2. (NORTH <br /> STORAGE ROOM WALL)TO EXPOSE ELECTRICAL AND PLUMBING FOR <br /> INSPECTION. REMOVE PORTIONS OF CEILING IN BATHROOM, SHOWER AND <br /> STORAGE ROOM AS NECESSARY TO EXPOSE WIRING FOR INSPECTION. MAKE <br /> ANY NECESSARY CORRECTIONS TO BRING AREAS UP TO CODE. REPLACE <br /> CEILING AND WALL COVER AND FINISH. <br /> ACKNOWLEDGEMENT: have reviewed this application and confirm the information cvnntaioed herein 1a the and mot Work done pursuant to Ws permit must comply with <br /> current federal,state,and local law The granting of a penal only authorizes approved work and no devirdions therefrom Deviations must first be authorized in wiling from the <br /> Building Official before being authorized under any circumstance.1 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 State Contractors 18.2T RCW and 296.200.4 WAC. <br /> City of Everett Official Use Only <br /> &2_,/ P ,ff aW 2-103-003 <br /> (Revised 218r2021) <br /> OwnerlAuNwnzed Agent - <br /> od ICA <br /> '/2- <br />