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131 ''LDING PERMIT APPLICA7N D IE CE 0 V IEE <br /> CITY OF EVERETT PERMIT SERVICES I� ��q i <br /> EVERETT SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and nur>lhl49f dol3es?Qired fc iew, <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 ( ISY"PErRETT <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION Permit Services <br /> PROJECT SITE ADDRESS: STREET 2818 Grand Ave. PARCEL#: 01049300210100-01049300261200 <br /> CITY Everett STATE WA ZIP 98201 <br /> SUITE/UNIT#: FLOOR#: ROOFTOP 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:Nautica Soundview,Condominiums c/o Tom Gish, Port Gardner Property Management <br /> OWNER MAILING ADDRESS: STREET 2907 Hewitt Ave. <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE:425-339-1160 OWNER EMAIL: tgish@portgardnermgmt.com <br /> CONTRACTOR COMPANY NAME:TO BE DETERMINED 006 SO VA VA Ohs <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):W000554 ?'1 D C,J1 ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): $ f <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR 0 OTHER(Please Specify) Building Consultant <br /> CONTACT NAME: CONTACT PHONE:425-870-0795 <br /> David Delgado CONTACT EMAIL:davidd@j2consultants.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $70,000 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:R-2, B& S-2 <br /> PROPOSED USE OF BUILDING:no change <br /> HEAT SOURCE: ❑Gas ❑Electric ❑Other <br /> BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑✓Multi-Family-#Units:63 ❑Commercial ❑Accessory Structure <br /> TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition (]Remodel ORepair ❑T.l. ❑Change of Use <br /> ❑Modular ❑Portable ❑Re-roof El Exterior Alteration ❑Tank(above ground) ❑Accessory Structure <br /> ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: <br /> DESCRIPTION OF WORK: Existing rooftop deck was removed when roof was replaced in 2021 . Project scope <br /> includes to install new rooftop wood-framed deck in same location. <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 /> Dlgdally signal by Mary Evangelista DIN:C=US,E=marye@j l tgom, PERMIT# ^ 03 <br /> � ( �Mary EvangeIistaBuildingGonsu fonts,DN=MaryEvangelista 03/09/23 <br /> Date:2023.03.09 11:5E A13-08TC <br /> Owner/Authorized Agent Signature Date (Revised 412112022) <br />