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k JILDING PERMIT APPLICA, .JN EVERETT CITY OF EVERETT PERMIT SERVICES SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, WASH I NGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION:(P)425-257-8810 1(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET tl ) PARCEL#: 00480600102000.00480600102104 ERETT CITY EV STATE WA ZIP 98204 SUITE/UNIT#: A-G FLOOR M 1 -3 ADDITIONAL LOCATION INFORMATION (if applicable): Bldg B TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Benton Square Lot No.: 8-14 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:PACIFIC RIDGE -DRH, LLC OWNER MAILING ADDRESS: STREET 17921 BOTHELL EVERETT HWY,SUITE 100 CITY BOTHELL STATE WA ZIP 98012 OWNER PHONE:(425) 939.11644 OWNER EMAIL: RLClancy@drhorton.com CONTRACTOR COMPANY NAME:PACIFIC RIDGE - DRH, LLC WA STATE CONTRACTOR LICENSE#(REQUIRED):PACIFRD851 JB CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): bt0 4-03 CONTRACTOR ADDRESS: STREET 17921 BOTHELL EVERETT HWY, SUITE 100 CITY BOTHELL STATE WA zIP 98012 CONTRACTOR PHONE:(425) 939.11644 CONTRACTOR EMAIL:RLClancy@drhorton.com &JWAtkin@drhorton.com PRIMARY CONTACT: El OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(425) 939.11644 Rhonda Clancy 8c JaSOCI Atkin CONTACT EMAIL:RLClancy@drhorton.com &JWAtkin@drhorton.com BUILDING INFORMATION VALUATION OF WO : $2,045,097.78I'-1.7 Z , `o" V Z ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevailing fair market value ofall labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING:N/A PROPOSED USE OF BUILDING:MULTI-FAMILY RESIDENTIAL HEAT SOURCE: ❑Gas ZElectric ❑Other BUILDING TYPE: ❑SFR ❑✓Townhouse ❑Duplex ❑ADU ZMulti-Family-#Units:7 ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑✓New Construction ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Change of Use []Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: New construction of 3 story 7 unit Townhome, part of a 5 building community aU-► 'o 8 �C', ftve- Ind, U h i fi ACKNOWLEDGEMENT.'l have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with 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 Building Official before being authorized under any circumstance.1 am the owner,or/am authorized by the owner of this property to perform the work for which application is made, and/comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 08.11 .23 PERMIT# Owner/Authorized Agent Signa a Date (Revised 412112022)