3110 8TH ST 2022-03-03 - Laserfiche WebLink

`r. • BUILDING PERMIT APPLICATI!N 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 3110 rSII-k yr PARCEL#: COG C 2 CCO OE30O CITY CVERE 1 1 STATE WA ZIP 9B^ 2c>1 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) A CONTACT INFORMATION OWNER NAME: LUIS • 4-I ElztnAtel OF-Z (71UG W1NN OWNER MAILING ADDRESS: STREET b15 N Wy 99 Apt D -161 )/� (]p CITY E V E 12.E T T STATE WA ZIP a 2o4 OWNER PHONE: 425 O)19 9336 ,` OWNER EMAIL: 11.41C .4I—e5t ktct mat I • COvV CONTRACTOR COMPANY NAME: Luis A H'ER v►A(`4 0E2 (AZ MAN WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET !!ff1tt16 15 Hwy g') Apt 0 " l01 � CITY Cv�:..1LT1 STATE WA ZIP _)82� CONTRACTOR PHONE: 425 94f9 Oj33(, CONTRACTOR EMAIL: ' lit19Ut I- est-€ I�IOEtnn'o�l I •COWW PRIMARY CONTACT: KI OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING INFORMATION VALUATION OF WORK: $ 30 d 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: SIrtcqLE CAM L4 aeSI OEInCE PROPOSED USE OF BUILDING: OwNEt2- PRtIAA t2`1 ►2ESt O±NCF HEAT SOURCE: ❑Gas (Electric ❑Other BUILDING TYPE:NSFR ❑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: DESCRIPTION OF WORK: EXp.AN0 tqASTfP-'S BE()(-t7ort $y AOQt)ttCLF MIA0- atom ,AND IVlCU.1OE A PULL (3AT4-Itat5tivi tFtS10 M AST eta'S AREA. LOcATIOt4 O1 C-Krizt E DQot2 Tp LIVING, t20Ofri CE REPLACei6erterstV STAIRS WITH SPIRAL STAIRS, OPEN AREA AN0 12&lN Fog(E . ACwt*0DATE AC-�A R- NEW Q Eo RooMS cLOsETS. D i v I PE Cu tr tZ&t11 BATH Ro r1 )t TH NEW LA(,t vt D 12-Y Ra:t R A.v10 NA)ASTa.. ADD A- 3/q BAT Roots TO Ta-IC 6AsertGNT, E-LCC1(2tCAL AHP P LAW 131NCI 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.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 comply with the State C ntractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 5 . 19 • 2021 PERM # I t✓ _ 034 Owner/Authorized Agent Signat e Date (Revised 2/8/2021)