1529 63RD ST SE UNIT C1 2022-08-12

• 11) INN 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 l(E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1529 63rd Street SE Unit C-1 PARCEL#: 00711200300100 CITY Everett STATE WA ZIP 98203 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: Rozanne Porter OWNER MAILING ADDRESS: STREET 1529 63rd Street SE Unit C-1 CITY Everett STATE WA ZIP 98203 OWNER PHONE:425-210-3487 OWNER EMAIL: rodaporter@comcast.net CONTRACTOR COMPANY NAME:G3 Building Co WA STATE CONTRACTOR LICENSE#(REQUIRED):602848535 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 63033 CONTRACTOR ADDRESS: sTREET685 Spring Street, PMB 334 CITY Friday Harbor STATE WA ZIP 98250 CONTRACTOR PHONE:425-359-7480 CONTRACTOR EMAIL:gene@g3buildingco.com PRIMARY CONTACT: ❑OWNER El CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-359-7480 Gene Goosman CONTACT EMAIL:gene©g3buildingco.com BUILDING INFORMATION VALUATION OF WORK:$160,000.00 ASSOCIATED LAND USE PROJECT#(if applicable):N/A (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:Condominium PROPOSED USE OF BUILDING:Single Family Residence HEAT SOURCE: ❑Gas ❑✓Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑✓Multi-Family-#Units:8 ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ✓ORemodel ❑Repair ❑T.I. ❑Change of Use ❑Modular EPortable ❑Re-roof ❑Exterior Alteration ElTank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ElPool/Hot Tub ElTank(above ground) ❑Other: DESCRIPTION OF WORK: Remove existing do rs, cabinets, trim, appliances, plumbipg and light fixtures. New cabinets, new p bing/light fixtures, new doors/trims, Ow flooring, chang wood / fireplace to pr, pane. Remove 2 n9rf bearing walls. W en opening in 2 b-'aring walls. Permits thwe already have: P tubing, Electrical, echanical (HV j/, Mechanical V (propanVne from fireplace tic ropane tank). VL10f3•1);211, f 14* 'Dl6 621* •k 0� I�2t t-o(4 mZI 61 681 I 1 i I 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(comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only a i PERMITv\ /1�Wbbs VAb OwnerlAutho ed Agent Signature O �1 Date (Revised 2/8/2021) 1/_