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BuiLDING PERMIT APPLICATioN <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> SUBMITTAL 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 INFORMATION: (P)425-257-8810 1(E)PermitServices@everettwa.gov I(W)everetlwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 6321 Broadway Avenue Apt.#2 PARCEL M 00544801300700/00544801300701 <br /> CITY Everett STATE WA ZIP 98203 <br /> SUITE/UNIT#: Apt.#2 FLOOR M 1st Fir. South ADDITIONAL LOCATION INFORMATION (if applicable):Parking accesson Lexington <br /> TENANT/BUSINESS NAME(if non-residential): NA <br /> LEGAL DESCRIPTION for new construction: Short PlaUsubdivision: NA Lot No.:See attached (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Kenneth Brian Hunt <br /> OWNER MAILING ADDRESS: STREET 5129 Evergreen Way D9 <br /> CITY Everett STATE WA ZIP 98203 <br /> OWNER PHONE: 425.232.9860 1OWNER EMAIL: actOnit@aOI.COm (personal) <br /> CONTRACTOR COMPANY NAME: Brian Hunt: Affidavit for Owners Acting as the Contractor in Lieu of Contractor License. <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED): AET R6854/RRP CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 056278 <br /> CONTRACTOR ADDRESS: STREET 5129 Evergreen Way D9 <br /> CITY Everett STATE Wa ZIP 98203 <br /> CONTRACTOR PHONE: 425.232.9860 1CONTRACTOR EMAIL:brian@alternative-teChnOlOgieS.COt71 <br /> PRIMARY CONTACT: I7 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) Brian Hunt Construction(BRIANHCO44NF-Inactive) <br /> CONTACT NAME: CONTACT PHONE: 425.232.9860 <br /> Brian Hunt CONTACT EMAIL: actonit@aol.com (personal) <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $ 14,038.60 ALL PAID INVOICES ASSOCIATED LAND USE PROJECT#(if applicable): NA <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: 4 pleX <br /> PROPOSED USE OF BUILDING: 4 PleX <br /> HEAT SOURCE: ❑Gas ❑✓Electric ❑Other <br /> BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑✓Multi-Family-#Units: 4 ❑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 711 high ❑RackStorage ❑PooUHot Tub ❑Tank(above ground) ❑Other: Water damage restoration <br /> DESCRIPTION OF WORK: Removed and replaced (R & R)the following water damaged building materials: 04/07/22-05/03/22 <br /> Apartment#2- 1 st floor Southwest Entrance Completed Work Activity. Northwest <br /> Master Bedroom: T-111 (2/3 sheet), R & R west window, R & R — 1 112-2x4s, GWB (3 sheets), <br /> insulation, 1 - outlet& 1-wall heater. Minor Repairs only, No Structural Work Activity <br /> NE Bedroom: R&R East Window, R& R—1 - 2x4, GWB (3 sheets), insulation, 1-outlet, I wall heater <br /> Bathroom: Toilet, GWB (1/2 sheet), insulation. Minor Repairs, No Structural Work Activity <br /> Removed & Replaced Floor pad and carpet. Mold Remediation. Interior and exterior paint and stain. <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 /> 02/01/22 PERMIT# <br /> Own Authorized Agent ignature Date <br /> (Revised 4/21/2022) <br />