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sim <br /> P LDING PERMIT APPLICASJN <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 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 317 77TH PL SW PARCEL#: 00389600000500 <br /> CITY EVERETT STATE WA ZIP 98203 <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: BEGIS PLAT 3 BLK 000 D-00 Lot No.: 5 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:PAUL AND JOANNE WRIGHT t n V /l '� <br /> OWNER MAILING ADDRESS: STREET 317 77TH PL SW D llll \e�4/ <br /> r <br /> CITY EVERETT STATE WA MOP 1I UD3 2024 ,! <br /> OWNER PHONE:425-319-9289 OWNER EMAIL: jolwright@comcast.net I" <br /> vLKETT <br /> CONTRACTOR COMPANY NAME:NORTHLIGHT CUSTOM BUILDERS, LLC L� Y QI Permit Services <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):NORTHCB862D6 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 55036 <br /> CONTRACTOR ADDRESS: STREET9800 HARBOUR PL, SUITE 201 <br /> CITY MUKILTEO STATE WA ZIP 98275 <br /> CONTRACTOR PHONE:425-977-0996 CONTRACTOR EMAIL:contact@northlightcustom.com <br /> PRIMARY CONTACT: D OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-407-2314 <br /> MATT C RAN E CONTACT EMAIL:matt@northlightcustom.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $$49;-87"E'4 S cl g g 0 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:RESIDENTIAL <br /> PROPOSED USE OF BUILDING:RESIDENTIAL <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:NEW DECK STRUCTURE WI STAIRS <br /> DESCRIPTION OF WORK: BUILD A NEW DECK ON THE SIDE OF THE HOME APPROXIMATEL 12'x15'-6" <br /> WITH STAIRS RUNNING DOWN THE BACK OF THE HOME <br /> (SEE PLANS FOR STAIR DETAILS). <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# <br /> OV2-16" — �S Z <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) <br />