7204 6TH AVE W 2021-09-01 - Laserfiche WebLink

BU!DING PERMIT APPLICATISIN 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 I(E)everetteps©everettwa.gov I(W)everettwa.gov/permits (Blue orBlackInk.Only Please). 17 ' PROJECT SITE"INFORMATION ra PROJECT SITE ADDRESS: STREET-7204 6th Ave W PARCEL#: 00708000003800 c ry Everett STATE WA ZIP 98203 SUITE/UNIT#: FLOOR#:1 ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: VERALENE ESTATES BLK 000 D-00 Lot No.:38 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Kerni (Tronson)Bell OWNER MAILING ADDRESS: STREET 7204 6th Ave W cny Everett STATE WA zip 98203 OWNER PHONE:425-478-3786 OWNER EMAIL: kerrit1@hotmail.com CONTRACTOR COMPANY NAME:JOhnsOn and Sons Construction LLC WA STATE CONTRACTOR LICENSE#(REQUIRED):jOhnSSC921 kZ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 51651 CONTRACTOR ADDRESS: sTREEr6618 Marine View Drive CITY Edmonds STATE WA ZIP 98026 CONTRACTOR PHONE:425-299-5616 CONTRACTOR EMAIL:JASCONSTNW@GMAIL.COM PRIMARY CONTACT: ❑OWNER I11 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-299-5616 Vic Johnson CONTACT EMAIL:JASCONSTNW@GMAIL.COM BUILDING INFORMATION VALUATION OF WORK:SOW S b 00 0 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not) EXISTING USE OF BUILDING:residential PROPOSED USE OF BUILDING:residential HEAT SOURCE: ❑Gas EElectric ❑Other BUILDING TYPE: EISFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑✓Remodel ❑Repair ❑T.I. ❑Change of Use ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ElAccessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK:Kitchen remodel with removal of non load bearing walls. New cabinets, new countertops, new hoodvent (less than 400CFM connected to existing ducting),minor electrical work, new sink, new faucet, garbage disposal, flooring 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 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 Building Official before being authorized under any circumstance.lam the owner,or l am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only r( r Zr PERh #2.i O 3 0(O03 Owner/Authorize nt Signature Date (Revised 22/8/2021) yn � Unfit/0 ��Z C'i� fil�