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2516 HILLSIDE LN 2025-01-24
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2516 HILLSIDE LN 2025-01-24
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1/24/2025 8:56:45 AM
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1/24/2025 8:56:38 AM
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Address Document
Street Name
HILLSIDE LN
Street Number
2516
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Bv1LDING PERMIT APPLICATI JIIJ <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 /> WASHI NeTON 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 1(E)PermitServices@everettwa.gov((W)everettwa.govlpermits <br /> (Blue or Black ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SiTE ADDRESS: STREET 2516 Hillside Lane PARCEL#: 00567900200102 <br /> crry 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: SI,AvtW MEIGtOSHI.KM@O-02 W,SOF 1 Off <br /> 5C Lot No,: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Keith &Sheri Bankston <br /> OWNER MAILING ADDRESS: STREET 2516 Hillside Lane <br /> cny Everett STATE Wa zIP 98203 <br /> OWNER PHONE:206-321-9916 OWNER EMAIL: jkeithb a@hotmail.com <br /> CONTRACTOR COMPANY NAME:John Keith Bankston (Owner-signed affidavit) <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> CONTRACTOR ADDRESS: STREET <br /> CRY STATE ZIP <br /> CONTRACTOR PHONE:206-850-9610 CONTRACTOR EMAIL:bunchb@nwlink.com <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ©OTHER(Please Specify) Pam Suttee(Keating Architects) <br /> CONTACT NAME: CONTACT PHONE:425-455-9358 <br /> Pam Suttle (Keating Architects) CONTACT EMAIL:pams@keatingarch.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK:$$140,000 Remodel 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:R-3,Single Family Residence <br /> PROPOSED USE OF BUILDING:R-3 Single Family Residence <br /> HEAT SOURCE: ©Gas ❑Electric ❑Other <br /> BUILDING TYPE: ISFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ©Remodel ©Repair ETA. ❑Change of Use <br /> ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure <br /> ❑Fence over 7ft high ❑RackStorage LiPool/Hot Tub ❑Tank(above ground) ❑Other <br /> DESCRIPTION OF WORK: ; - ._a : ,, <br /> Interior remodel: 1,309 s.f. (`� (,; <br /> New covered walk added to roof: 91 s.f. L� <br /> MAR 02 <br /> 2024 J! <br /> CITY OF EVERETT <br /> Permit Services <br /> ACKNOWLEDGEMENT:t 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.!am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and!comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> 1c/1.*/*c; '"" �j� Z."( <br /> , PERMIT# (� l 0 3 - C(0 <br /> Owner/Authorized Agent Signature Date (Revised 4/2112022))�o� <br />
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