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BUi,-01NG PERMIT APPLICATI A <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETTSUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, <br /> WAS MINGTON 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)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 3619 Colby Ave. PARCEL#: 00451401001000 <br /> CITY Everett STATE Wash. ZIP 98201 <br /> SUITE/UNIT#: FLOOR M ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANTIBUSINESS NAME(if non-residential): <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Fridays 1st addition to Everett Lot No.: 10 a 11 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Irwin MacQuarrie&Zhengan Wei <br /> OWNER MAILING ADDRESS: sTREET 7321 47th Ave.SW. <br /> CITY Seattle STATE Wash. ZIP 98136 <br /> OWNER PHONE:206-965 0270 OWNER EMAIL: irvinmac@gmaii.com <br /> CONTRACTOR COMPANY N E: <br /> WA STATE CONTRACTOR L CENSE#(RE IRED):�32116�CA- CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): t0 -(D-1 <br /> 2-1 <br /> CONTRACTOR ADDRESS: EET <br /> crry STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Architeot <br /> CONTACT NAME: CONTACT PHONE:206-283-8317 <br /> William Page CONTACT EMAIL:pagearchitects@gmail.com <br /> BUILDING INFORMATION. <br /> VALUATION OF WORK:$35,000 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:Single family Residence <br /> PROPOSED USE OF BUILDING:Single family Residence <br /> HEAT SOURCE: ❑Gas ❑✓Electric ❑Other <br /> BUILDING TYPE: ✓❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> TYPE OF PROJECT(check a//that apply): ❑New Construction ❑Addition ORemodel ✓❑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:New exterior ramp. Repair north porch and stairs. Interior, relocate kitchen. Add 1/2 <br /> bath, add new door to basement on level 1. Level 2 convert closet to study and add <br /> small closet. <br /> ACKNOWLEDGEMENT-1 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 /> t ;' � PERMIT# 3 Z3. <br /> 3. <br /> J <br /> ,l <br /> Owner/Authorized Agent Signature Date (Revised 412112022) <br />