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ECEOVE) <br /> BLDING PERMIT APPLICATI <br /> CITY OF EVERETT PERMIT SERVICES APR 0 6 2023 J <br /> EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal require and number of copies requirex'for review, <br /> WASHINGTON then drop off completed application plus all required submittal documents to 3 : •-ro�.-:a t•• Tr Drop Box. <br /> CONTACT INFORMATION:(P)425-257-8810 I(E)PermitServices©everettwa.go tiT 11- <br /> t '�.•rov toils <br /> •(Blue or Black Ink Only Please) PROJECT SITE INFORMATION lc <br /> PROJECT SITE ADDRESS: STREET 2401 Lexington Ave PARCEL#: 00544801302800 <br /> ciTy Everett STATE WA Zip 98203 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): Pinehurst Div A,Lot 28 <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:Hunter Saunders <br /> OWNER MAILING ADDRESS: STREET 2401 Lexington Ave <br /> CITY Everett STATE WA Zip 98203 <br /> OWNER PHONE:206-370-2553 OWNER EMAIL: hunter.l.saunders@gmail.com <br /> CONTRACTOR COMPANY NAME: 0 GJ <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> PRIMARY CONTACT: El OWNER ❑CONTRACTOR El OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-370-2553 <br /> Hunter Saunders CONTACT EMAIL:hunter.l.saunders@gmail.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK:$80,000 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:Primary Single Family Residence <br /> PROPOSED USE OF BUILDING:Primary Single Family Residence <br /> HEAT SOURCE: ❑Gas ©Electric ❑Other <br /> BUILDING TYPE: I?SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> TYPE OF PROJECT(check all that apply): ❑New Construction IZiAddition ©Remodel ❑Repair ❑T.I. ❑Change of Use <br /> ❑Modular ❑Portable ❑Re-roof ElExterior Alteration ❑Tank(above ground) ❑Accessory Structure <br /> ElFence over 7ft high ❑RackStorage ❑Pool/Hot Tub ['Tank(above ground) ❑Other: <br /> DESCRIPTION OF WORK: <br /> A proposed 426sqft addition to the rear of the existing structure (north side). The <br /> existing 600sqft living space to be remodeled into open living area. The existing 1 car <br /> garage to be converted to living space. <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 lam 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 /> 2 City of Everett Official Use Only <br /> d �� <br /> 03/291262.3 PERMIT# SG' 3D61 <br /> er/A Ized Ag� Signature Date (Revised 4/21/2022) <br />