5415 S 3RD AVE 2022-05-24 - Laserfiche WebLink

BIDING PERMIT APPLICATIR 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 5415 S 3rd Ave PARCEL#: 00500302600600 cm( Everett STATE WA ZIP 98203 SUITE/UNIT#: Both FLOOR#: Main 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:Fern Stone OWNER MAILING ADDRESS: STREET 68-8590 Sunrise Dr CITY Chilliwack STATE BC ZIP V2R3Z4 OWNER PHONE:519-404-1 725 OWNER EMAIL: fernstone@icloud.com CONTRACTOR COMPANY NAME:Joe Myers Construction, Inc. WA STATE CONTRACTOR LICENSE#(REQUIRED):JOEMYMC951 PP CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 48453 CONTRACTOR ADDRESS: STREET4418 128th Place SE CITY Everett STATE WA ZIP 98208 CONTRACTOR PHONE:425-337-5383 CONTRACTOR EMAIL:Joe myersconstructionacomcast.net PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ✓❑OTHER(Please Specify) Project Manager CONTACT NAME: CONTACT PHONE:425-766-01 55 Myles Wese n e r CONTACT EMAIL:mwesener@soseattle.com BUILDING INFORMATION VALUATION OF WORK:$3,500 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 ©Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ✓❑Duplex ❑ADU ❑Multi Family-#Units:2 ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Change of Use EModular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑✓Other:Deck Removal DESCRIPTION OF WORK: **No structural changes** Entrance at front of property will remain for access, with sidewalks to garage. Remove existing deck at rear of property. Enclose back door in each unit. Replace exterior siding. Frame interior door. Insulate. Drywall. Texture & Paint. 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 Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# ,S i ©' Q C O Op/( 'L.o Owne Auth iz Agent Signature Da (Revised 2/8/2021) ! 2