2008 23RD ST 2022-07-14 - Laserfiche WebLink

E . I BUILDING PERMIT APPLICATION 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 1(E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2008 23rd ST PARCEL#: 00439149400102 ciTy Everett STATE WA ZIP 98201 SUITE/UNIT#: n/a FLOOR#: n/a ADDITIONAL LOCATION INFORMATION (if applicable):n/a TENANT/BUSINESS NAME(if non-residential):n/a LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Tamara Garrison and Sean Ostenberg OWNER MAILING ADDRESS: STREET 2008 23rd ST cm, Everett STATE WA zip 98201 OWNER PHONE:(206) 235-5842 OWNER EMAIL: tamgar13@gmail.com CONTRACTOR COMPANY NAME:CornerStOne Construction Group Inc WA STATE CONTRACTOR LICENSE#(REQUIRED):CORNECG877P5 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 056756 CONTRACTOR ADDRESS: sTREET12024 Junanita Dr NE ciTy Kirkland STATE WA zIP 98034 CONTRACTOR PHONE:206-310-4497 CONTRACTOR EMAIL:joe@COrnerStOneCg.org PRIMARY CONTACT: ❑OWNER 7 CONTRACTOR Cl OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-310-4497 Joe Hopkins CONTACTEMAIL:joe@cornerstonecg.org BUILDING INFORMATION VALUATION OF WORK:$5,000 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:single family residence PROPOSED USE OF BUILDING:single family residence HEAT SOURCE: JGas ❑Electric ❑Other BUILDING TYPE: ❑✓SFR ❑Townhouse ❑Duplex ❑ADU EMulti-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑✓Remodel ❑Repair ❑T.1. ❑Change of Use ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/1-lot Tub ❑Tank(above ground) LiOther: DESCRIPTION OF WORK:Construction of two interior walls in flex space to enclose the area, creating a bedroom with a closet. 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 G IQ / S s�fti 0 -e-n.be-r 04/21/2022 PERM# O 1 051 Owner/Authoriz Agent Signature Date (Revised 2/8/2021) l�