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BL )ING PERMIT APPLICAT: I <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETTSUBMITTAL 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 7808 BEVERLY BLVD. PARCEL#: 00393900700600&00393900700700 <br /> cm, Everett STATE WA ZIP 98208-7010 <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: BEVERLY PARK nLATr,FBEK CO'D-°° rnT'BEv' Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:MANUEL&SUSAN ECO 5214 151ST ST SW <br /> OWNER MAILING ADDRESS: STREET 5214 151 st ST SW <br /> CITY STATE WA ZIP 98026 <br /> OWNER PHONE: OWNER EMAIL: manny.eco@gmail.com <br /> CONTRACTOR COMPANY NAME:MANUEL& SUSAN ECO W - <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> CONTRACTOR ADDRESS: STREET 5214 151st ST SW <br /> CITY EDMONDS STATE WA ZIP 98026 <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL:manny.eco@gmail.com <br /> PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) ARCHITECT <br /> CONTACT NAME: CONTACT PHONE:360 629 5375 <br /> David Pelletier, A I A CONTACT EMAIL:dpelletier@pelletiershaar.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $400,000.00 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 heat pump <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: <br /> DESCRIPTION OF WORK:Additions & Alterations to existing single family residence <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 Cnntrartnrc 1 aw 1R 27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> 3/21/2023 PERMIT# 13 n• 30 5 /�� <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) lJ <br />