Laserfiche WebLink
LAND USE PERMIT APPLICATION <br /> CITY OF EVERETT PLANNING DIVISION <br /> EVERETT INSTRUCTIONS: Complete form, sign, and date. <br /> WASHINGTON See applicable land use application packet for all required checklist items. <br /> CONTACT INFORMATION <br /> APPLICANT Jeffery Kildare <br /> ADDRESS 2313 columbia ave <br /> CITY Everett STATE ova ZIP 98203 <br /> PHONE 253-508-1763 EMAIL jeffropk@yahoo.com <br /> OWNER Jeffery kildare <br /> ADDRESS 2313 columbia ave <br /> CITY everett STATE wa Zip 98203 <br /> PHONE 253-508-1763 EMAIL jeffropk@yahoo.com <br /> PRIMARY CONTACT:[]APPLICANT ❑ OWNER ❑ OTHER, PLEASE SPECIFY BELOW <br /> NAME <br /> PHONE EMAIL <br /> PROJECT SITE INFORMATION <br /> ADDRESS 2313 Columbia ave Everett wa 98203 <br /> PARCEL NO(S) <br /> PROJECT INFORMATION <br /> PROJECT NAME <br /> PROJECT Build an ADU <br /> DESCRIPTION <br /> VALUATION 20,000 <br /> Authorization: I am the owner or am authorized by the owner to sign and submit this application. I certify under penalty <br /> of perjury of the laws of the State of Washington that the information on this application and all information submitted <br /> herewith is true,complete, and correct. <br /> SIGNATURE DATE <br /> PRINT NAMEI�Zr�Vg- 1�re.-0r,Z <br /> CITY,STATE _ <br /> 4 2930 Wetmore Ave, Ste 8-A © 425.257.8731 O planning@everettwa.gov <br /> Everett, WA 98201 425.257.8742 fax everettwa.gov <br />