820 41ST PL 2022-10-07 - Laserfiche WebLink

BOLDING PERMIT APPLICASN 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 l(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 820 41 st PL PARCEL#: 00801900000700 crry Everett STATE WA ZIP 98201 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:Kristin Massoth OWNER MAIUNG ADDRESS: STREET 820 41 st PL CITY Everett STATE wa ZIP 98201 OWNER PHONE:1(425)343-6321 OWNER EMAIL: kristink@bdainc.com CONTRACTOR COMPANY NAME:American Dream Builders LLC 723 7 WA STATE CONTRACTOR LICENSE#(REQUIRED):AMERIDB793C4 CITY OF EVERETT BUSINESS LICENSE#( Q1JIRED): N/A CONTRACTOR ADDRESS: STREET12408 5th Ave W Unit C CITY Everett STATE WA ZIP 98204 CONTRACTOR PHONE:(425)212-7740,, CONTRACTOR EMAIL:davidd@americandreambuildersconstruction.com PRIMARY CONTACT: ❑OWNER /ONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(425)212-7740 David Demyan CONTACT EMAIL: davidd@americandreambuildersconstruction.com BUILDING INFORMATION VALUATION OF WORK:$41,000 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 residential PROPOSED USE OF BUILDING:Single family residential HEAT SOURCE: ❑Gas ❑Electric ❑Other N/A BUILDING TYPE: ❑SFR ❑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:Deck Replacment DESCRIPTION OF WORK:Deck replacement 16'X34' with a staircase on a side. 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.lam the owner,or l 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 I,,••i PERMIT r2 02/24/2022 4-BIZ L Owner/Authorized Agent Signature Date (Revised 2/8/2021) 1I2.