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BUILDING PERMIT APPLICATION <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 I NFORMATION: (P) 425-257-88101 (E) PermitServices@everettwa.gov I (W) everetwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: STREET 2314 Maple St PARCEL #: 00515850202300 <br />CITY Everett STATE WA vP 98201 <br />SUITEIUNIT #: 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: Rectlllrlgrlew Inc <br />OWNER MAILING ADDRESS: STREET 15327 3rd DR SE <br />CITY Mill Creek STATE WA vP 98012 <br />OWNER PHONE: 206-715-6927 <br />1OWNER EMAIL: kcyee75@gmail.com <br />CONTRACTOR COMPANY NAME: GIO, Inc <br />WA STATE CONTRACTOR LICENSE#(REQUIRED):GIOI NI'777DF <br />ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 65614 <br />CONTRACTOR ADDRESS: STREEr125 130th St SE <br />CITY Everett STATE WA Zp 98208 <br />CONTRACTOR PHONE: <br />CONTRACTOR EMAIL: <br />PRIMARY CONTACT: s❑ OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: 0 hn Yee '�� <br />CONTACT PHONE: 206-71 5-6927 <br />CONTACT EMAIL: kcyee75O@gmall.com <br />BUILDING INFORMATION <br />VALUATION OF WORK: s 1,500 1ASSOCIATED 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: <br />PROPOSED USE OF BUILDING: <br />HEAT SOURCE: ❑Gas ❑✓ Electric ❑Other <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: This house needs interior and exterior painting. The compost floor replaced carpet. <br />Since the floor needs repair, we removed the hot water tank to another location. After <br />new floor done, then moved the tank back to previous location. The part dry wall had <br />been damaged at bedroom in second floor so we replaced dry wall. <br />ACKNOWLEDGEMENT/ 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. 1 am the owner, or 1 am authorized by the owner of this property to perform the work for which application is made, <br />and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />City of Everett Official Use Only <br />3/10/2023 PERMIT# <br />Owner/Authorized Agent Signature Date (Revised 4/21/2022) <br />