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Rim <br /> ItILDING PERMIT APPLICAAN <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)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 6313 Wetmore Ave PARCEL#: 00495000600700 <br /> CITY Everett STATE WA ZIP 98204 <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: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Christian Fraley <br /> OWNER MAILING ADDRESS: STREET 6313 Wetmore Ave <br /> CITY Everett STATE WA Zip 98204 <br /> OWNER PHONE:425-478-0394 OWNER EMAIL: <br /> CONTRACTOR COMPANY NAME:JNR Construction <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):JNRCOC*954PK CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 64825 <br /> CONTRACTOR ADDRESS: STREET 5617 148th St SW <br /> CITY Edmonds STATE WA zip 98026 <br /> CONTRACTOR PHONE:206-271-1856 CONTRACTOR EMAIL:joe@jnrconstruction.org <br /> PRIMARY CONTACT: 0 OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206 271 1856 <br /> Joe Hendricks CONTACT EMAIL:joe@jnrconstruction.org <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $35,000 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:Garage <br /> PROPOSED USE OF BUILDING:Garage <br /> HEAT SOURCE: ❑Gas ❑Electric LOther None <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.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: <br /> Construction of a 24' x 26' unconditioned garage on the northeast corner of the <br /> property. The existing garage and shed will be demolished a electronic permit for this <br /> work has already been submitted. <br /> D2 1061-0 02, <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 Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> 09/05/22 PERMIT# <br /> yyyyyyyy D c� _ 0 LEI <br /> Ow er/Authorized Agent Signature Date (Revised 4/21/2022) <br />