1208 RUCKER AVE 2022-02-15 - Laserfiche WebLink

p CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUC S:See applicable submittal checklist for submittal Sements and number of copies required for review WASHINGTON then drop o completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. '` CONTACT INFORMATION:(P)425.257.88101(E)everetteps@everettwa.gov I(W)everett .gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1208 Rucker Ave PARCEL#: 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:Jay&Joy Varady OWNER MAILING ADDRESS: STREET 1208 Rucker Ave cry Everett STATE WA ZIP 98201 OWNER PHONE:(425) 299-0433 OWNER EMAIL: knox.joy@gmail.com CONTRACTOR COMPANY NAME:CUktiSS Construction Co., InC. WA STATE CONTRACTOR LICENSE#(REQUIRED):CURTICC995PA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 039553 CONTRACTOR ADDRESS: STREET8303 143rd Ave NE SIT,- Lake Stevens STATE yY�A� A zip 98258 CONTRACTOR PHONE:(425) 239-2941 CONTRACTOR EMAIL:CUrtiSS@CUrtiSSCOnStrUCtionCO.COm PRIMARY CONTACT: 0 OWNER ✓❑CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(425) 239-2941 Cu 'ss B. iechtner CONTACT EMAIL:curtiss@curtissconstructionco.com BUILDING INFORMATION VALUATION OF WOR . $56,000.00 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the pr va ing fair market value o all labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILD G:SFR PROPOSED USE OF BUILDS G:SFR HEAT SOURCE: ❑Gas ❑ • ❑Other BUILDING TYPE: ✓❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction DAddition ❑✓Remodel DRepair ❑T.I. ❑Change of Use ❑Modular DPortable ❑Re-roof DExterior Alteration ❑Tank(above ground) DAccessory Structure OFence over 7ft high DRackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK:Master Bath Remodel 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 ;t, 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 a Building Ofcial before being authorized under any circumstance.I am the owner,or lam authorized by the owner of this property to perform the work for which application is made. t `I eompty with the`State Contractors Law 18.27 RCW and 296.200A WAC, City of Everett Official Use Only