1401 RAINIER AVE 2021-12-10 - Laserfiche WebLink

Elm az BOLDING PERMIT APPLICATIN 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 or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1401 Rainier Ave PARCEL#: 00595200004702 cm, Everett STATE WA ZIP 98201 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Ami Straight OWNER MAILING ADDRESS: STREET 1401 RANIER AVE ciTY Everett STATE WA ZIP 98201 OWNER PHONE:425-442-7996 OWNER EMAIL: AMISTRAIGHT@YMAIL.COM CONTRACTOR COMPANY NAME:STROYCO LLf ('f WA STATE CONTRACTOR LICENSE#(REQUIRED):STROY**93101 CITY OF EVERETT BUSINESS LICENSE#( EQUIRED): 6� IA " CONTRACTOR ADDRESS: sTREET2627 S 349th St CITY Federal Way STATE WA ZIP CONTRACTOR PHONE:253-332-5233 CONTRACTOR EMAIL:paulpikalov@yahoo.Com PRIMARY CONTACT: ❑OWNER ©CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING INFORMATION VALUATION OF WORK: $10000 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: PROPOSED USE OF BUILDING: HEAT SOURCE: EGas ❑Electric ❑Other BUILDING TYPE: ❑SFR ❑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) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ©Other:deck replacement DESCRIPTION OF WORK:Replacement of deck in the back of the house 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 circumstan1\ ,,,, k„,, ...ce.I am the owner,or/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 PERMIT# a/a2/aor-\,,k\ OwneLMi horized Agent Signature Date (Revised 2/8/2021)