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.... <br /> iz, BUILu 4G PERMIT APPLICATION 'J ECEOVE <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements numbArr jcop ryd for r ' , <br /> WASHINGTON then drop off completed application plus all required submittal documents to 320 ar S r let ndo e DR" x. <br /> CONTACT INFORMATION:(P)425-257-8810 i(E)PermitServices@everettwa.gov 1(W)everettwa..gov!p VC R CTT ermits <br /> (Blue or Black ink Only Please) PROJECT SITE INFORMATION CITY OF <br /> C <br /> Permit Services <br /> PROJECT SITE ADDRpS.:„ STREET 3702/ //Mukilteo Blvd PARCEL#: 00'33800004602,00433600004700,00433600004600,00433600004500 <br /> CITY Everett STATE WA zip 98203 <br /> SUITE/UNIT#: ' titer ' (_. ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(if non-residential): <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: See attached Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Sage Homes Northwest, LLC <br /> OWNER MAILING ADDRESS: STREET 9505 19th Ave SE, Suite 118 <br /> Cr0' Everett STATE WA zip 98208 <br /> OWNER PHONE:425-609-8074 OWNER EMAIL: permits@sagehomesnw.com <br /> CONTRACTOR COMPANY NAME:Sage Homes Northwest, LLC <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):SAGEHHN932QM CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 61991 <br /> CONTRACTOR ADDRESS: STREET9505 19th Ave SE, Suite 118 <br /> crr e Everett STATE WA zip 98208 <br /> CONTRACTOR PHONE:425-609-8074 CONTRACTOR EMAIL:vicki@sagehomesnw.com <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-231-7777 <br /> Vicki Harrison CONTACT EMAIL:vicki@sagehomesnw.com <br /> T3 t '-i ' - C" BUILDING INFORMATION <br /> VALUATION OF WORK:$2,085,979.0 :7:A ggZO/ ASSOCIATED LAND USE PROJECT#(if applicable):REVI122-001 <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:NA Mt?-Lc — c;,o)A <br /> PROPOSED USE OF BUILDING:Townhomes <br /> HEAT SOURCE: EGas ©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 CIT.'. ❑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 /> Construct Building 7 Unit Townhouses <br /> :, :. taado ,t <br /> L..•ae.„ -r .2_0.a%o 1-1. -601 Cc, ) <br /> 1-"-5 ir& VV./22-66-Q2-Z l,'P‘ii-RAr J <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 b fb(e being authoriz er 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 wit the State Contr ors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> %/ <br /> I / <br /> PERMIT# _ B <br /> Owner/Authorized Ag2n Signature Date (Revised 4/21/2022) <br />