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Now <br /> BoDING PERMIT APPLICAToN <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 1 (E)everetteps@everettwa.gov I (W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 2310 17th Street PARCEL#: 00438835400101 <br /> ciry Everett STATE WA ZIP 98201 <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: Everett Div U Lot No.: 1 &2 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Weaver and Sons Construction <br /> OWNER MAILING ADDRESS: STREET 555 Pilchuck Path <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE:4252076923 OWNER EMAIL: WeaverandSOnSCOnStrUCtiOn@COmCaSt.net <br /> CONTRACTOR COMPANY NAME:Weaver and Sons Construction, Inc tr+ <br /> WA STATE CONTRACTOR LICENSE#(REQUIRE ):604077898 WY OF EVERETT BUSINESS LICENSE#(REQUIRED): 60991 <br /> CONTRACTOR ADDRESS: sTREET555 Pil ' -k--P <br /> CITY Everett STATE WA ZIP 98201 <br /> CONTRACTOR PHONE:4252076923 CONTRACTOR EMAIL:weaverandsonsconstruction@comcast.net <br /> PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR Z OTHER(Please Specify) engineer <br /> CONTACT NAME: CONTACT PHONE:2063800732 <br /> Andrew Herrick CONTACT EMAIL:alhpe_sliderule@q.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $25,000 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:single family residence <br /> PROPOSED USE OF BUILDING:single family residence <br /> HEAT SOURCE: ❑Gas ❑✓Electric ❑Other <br /> BUILDING TYPE: [1SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑✓Repair ❑T.l. ❑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: <br /> DESCRIPTION OF WORK:Respond to Stop Work Notice <br /> r�ryt 7) //zl/ wry( 4,7 b" b274r <br /> ft / %r l� zs As,7/ pv�sh z�S <br /> �l�W�vj Ut�J� zs l�l`�c� / Acre <br /> /\✓/(fal (Ai/Uz// <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 L 18.27 RCW and 296.200A WA C. <br /> City of Everett Official Use Only <br /> zi-r210 <br /> 2- do11/23/21 <br /> Owner/Autho ' ed ent ignature Date (Revised 2/8/2021) <br />