901 E MARINE VIEW DR 2021-12-15 - Laserfiche WebLink

BUI*NG PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION: (P) 425.257.8810 1 (E) everetteps@everettwa.gov I (W) everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 901 E. Marine View Or Bldg 4 PARCEL #: 00864700220200 ciTv Everett STATE WA zi, 98201 SUITEIUNIT #: 401-403 FLOOR #: ADDITIONAL LOCATION INFORMATION (if applicable): TENANTIBUSINESS NAME (if non-residential): LEGAL DESCRIPTION for new construction: Short Plat'subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Vista Court COA - Impact Association Management OWNER MAILING ADDRESS: sTREr'r 9506 4th St NE #201 clr, Lake Stevens STATE WA zla 98258 OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME:Cornerstone Roofing, Inc, WA STATE CONTRACTOR LICENSE #(REQUIRED):CC)RNERIO1 1 CM C1TY aF EVERETT BUSINESS LICENSE #(REQUIRED): 33560 CONTRACTOR ADDRESS: SIREET17624 15th Ave SE #101A cry Bothell STATE WA z,p 98012 CONTRACTOR PHONE:425-485-0111 1CONTRACTOR EMAIL: kristy@cornerstoneroofing.com PRIMARY CONTACT: 0 OWNER 21 CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Kristy CONTACT PHONE'425-485-0111 CONTACT EMAIL:kristy@conrnerstoneroofing.com BUILDING INFORMATION VALUATION OF WORK: $61500.00 1ASSOCIATED LAND USE PROJECT # (if applicable): (Valuation shall include the prevailing fair market value of all lahor, materials, and equ{,mach naaded to complete the work, whether artualiv paid or not.') EXISTING USE OF BUILDING: PROPOSED USE OF BUILDING: HEAT SOURCE: ❑Gas ❑Electric, DjOthe BUILDING TYPE: ❑SFR 0Townhouse []Duplex CiADU RIMulti-Family - # Units:7 EDCommercial FlAccessory Structure TYPE OF PROJECT (check all that apply) : ElNew Construction ❑Addition ©Remodel ClRepair C IT.I. ❑Change of Use ElModular ©Portable ❑Re -roof CExterior Alteration (ITank (above ground) DAccessory Structure ❑Fence over 7ft high ❑RackStorage ClP00111-kot Tub OTank (above ground) 1✓IOther:Re-Roof DESCRIPTION OF WORK: Remove existing comp and replace with new comp ACKNOWLEDGEMENT 1 have reviewed this application and confirm the information contained heroin is true and correct, Work done pursuant to this permit must comply with current federal, slat&, and local taw, The granting of a pennif only authorizes approved work and no deviations therefrom. Deviations must first be authorized in wilting from the atifidrrrg Official before being authorized tinder 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, and i c:Jmoly with the State Contractors Law 18,27 RC and2=J6,200A WAC;. Own uthorized Agent ignature auc City or;wvurva orrltXai usu only PER S (Revised 21812021) t •_- (� /Z.