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BUILDING PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT 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 l(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 717 Hawthorne Street PARCEL#: 29051700103100 <br /> cITY Everett STATE WA z,P 98201 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable):Carport <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:LWK1913, LLC <br /> OWNER MAILING ADDRESS: STREET PO BOX 50185 <br /> CITY Pasadena STATE CA z,P 91105 <br /> OWNER PHONE:626-394-7554 1OWNER EMAIL: Payson Kwan <br /> CONTRACTOR COMPANY NAME: <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Project Manager <br /> CONTACT NAME: CONTACT PHONE:425-866-7753 <br /> John Mansfield CONTACT EMAIL:jmansfield@coastmgt.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $ 30,000 1ASSOCIATED 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:Multi Family <br /> PROPOSED USE OF BUILDING:Multl Family <br /> HEAT SOURCE: ❑Gas ❑✓Electric [-]Other <br /> BUILDING TYPE: ❑SFR ❑Townhouse [-]Duplex ❑ADU ❑✓Multi-Family-#Units:20 ❑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 El Exterior Alteration ❑Tank(above ground) [-]Accessory Structure <br /> ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub [-]Tank(above ground) ❑✓Other:Seismic Enhancement <br /> DESCRIPTION OF WORK:At two locations, one in each carport, add a reinforced wall at the center of the carport <br /> including new grade beam, curb, 2x6 wall, and plywood face. <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.1 am the owner,or 1 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 /> as agent for owner June 27, 2024 <br /> Owner/Authorized-Agent Signature Date (Revised 412112022) <br />