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ism <br /> B!LDING PERMIT APPLICAT, ECEOVE <br /> EVERETT CITYp caO EVERETTm PERMIT SERVICES <br /> submittal <br /> q ADD Z F q <br /> SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal require and�j bar f`�o uire review, <br /> WASHINGTON then drop off completed application plus all required submittal documents to 3200 C�-e�r�ar r t d. .•t Drop Box. <br /> CONTACT INFORMATION:(P)425-257-8810 I(E)PermitServices©everettwa.goQ l�Nl '' atd <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION t'e m1t Services <br /> PROJECT SITE ADDRESS: STREET 2314 Maple St PARCEL#: 00515850202300 <br /> crTY 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: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Rectilignenw Inc <br /> OWNER MAILING ADDRESS: STREET 15327 3rd DR SE <br /> CITY Mill Creek STATE WA ZIP 98012 <br /> OWNER PHONE:206-715-2967 OWNER EMAIL: kcyee75@gmail.com <br /> CONTRACTOR COMPANY NAME:GIO, Inc <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):GIOINI*777DF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 65614 <br /> CONTRACTOR ADDRESS: STREET 125 130th Street, SE <br /> CITY Everett STATE WA ZIP 98208 <br /> CONTRACTOR PHONE:425-379-2580 CONTRACTOR EMAIL:hpyeelgmail.com <br /> PRIMARY CONTACT: D OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: 1., CONTACT PHONE:206-715-6927 <br /> Jo ee CONTACT EMAIL:kcyee75@gmail.com <br /> BUILDING INFORMATION <br /> VALUATION OF WO :$ 15 ASSOCIATED LAND USE PROJECT#(if applicable): <br /> (Valuation shall include the pp ing fair ma et value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) <br /> EXISTING USE OF BOIL ingle family residential house <br /> PROPOSED USE OF BUILDING:single family residential house <br /> HEAT SOURCE: ❑Gas ❑✓Electric ❑Other <br /> BUILDING TYPE: IISFR ❑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: <br /> This house had been alternated from 2 bedrooms to 4 bedrooms without permit <br /> happed 23 years ago see attached file. I purchased this house a year ago with no <br /> knowledge of this alteration. From Snohomish record see attached file it is 2 and half <br /> bathrooms which is no alteration. <br /> Sef <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.lam 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 /> �--� 4/22/2023 PERMIT# 0;2 30 _1 f 0 r o <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) (/(/ <br />