My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
3701 22ND ST 2022-03-03
>
Address Records
>
22ND ST
>
3701
>
3701 22ND ST 2022-03-03
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/3/2022 2:15:56 PM
Creation date
3/3/2022 2:15:48 PM
Metadata
Fields
Template:
Address Document
Street Name
22ND ST
Street Number
3701
Imported From Microfiche
No
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
11
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
BIDING PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT <br /> SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, <br /> WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. <br /> CONTACT INFORMATION: (P)425.257.8810 I(E)everetteps@everettwa.gov I (W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET :t 7 0 22 N� 5 T. PARCEL#: 00 3 77. 4 5 /-7 <br /> Qj 3d2 <br /> CITY E V E B Err STATE WA ZIP 9 6 Zo <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME (if non-residential): N/A <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: N/'/ Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: A ELI- AM 1( G,1 1 501J <br /> OWNER MAILING ADDRESS: STREET 3 ZZ�,/ c ( A' s N E /� 7�'7/�7 <br /> CITY i ,A`"�°( S V(L LE STATE V G A ZIP 9 15 Z / ✓ <br /> OWNER PHONE: 2 5) Z o — 7 32 7 OWNER EMAIL: 3iL'1._R(C (-1NRS:xS°N14.6 M AOL co(LA <br /> CONTRACTOR COMPANY NAME: 1\1 AA <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> PRIMARY CONTACT: ®.OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: [ CONTACT PHONE(4Z5) 280 73�7 <br /> ('� <br /> Wi LL1 AM I C_1'4r"�Ri7SC�N CONTACT EMAIL: Ly RUSc)r'J 48 @ AOL.c0 <br /> /� <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $ 00000 0 ASSOCIATED LAND USE PROJECT#(if applicable): <br /> (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) <br /> EXISTING USE OF BUILDING: 511' &i s" FAH 1_11/ RE5 I DE ►J CE <br /> PROPOSED USE OF BUILDING: SA M <br /> HEAT SOURCE: ❑Gas NElectric ❑Other <br /> BUILDING TYPE: ZSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: III Commercial ❑Accessory Structure <br /> TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel WiRepair ❑T.I. ❑Change of Use <br /> ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure <br /> ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub LiTank(above ground)) ❑Other: <br /> DESCRIPTION OF WORK: I-00N DAI (ON REP t R + RE LACE 3'0 0 <br /> AtLE17 FauNI DNriotd1 CIF= EAST WALL CO '�( NJING AROVEc <br /> J eY CoRNE i/2 rErT tb EAiST1tG R7 DAT70 <br /> NI v\,J F0uN D P +cDra o cE Poo RED Grp NCR E r r 011C'JG <br /> A.N c a k 8 k 1 rit isc C Q L O Ci<5 <br /> 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 <br /> 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 <br /> 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, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> /— -. PERMIT# 1��� b4 Q <br /> .6(),".6 <br /> 02: <br /> Owner/Authorized Agent Signature Date <br /> 9 9 (Revised 2/8/2021) 1 <br />
The URL can be used to link to this page
Your browser does not support the video tag.