6531 CYPRESS ST B 2023-06-15 - Laserfiche WebLink

BOLDING PERMIT APPLICA*N 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: STREET6531 Cypress St PARCEL #: c,Tv Everett STATE WA Z,F 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:MICihael Smith OWNER MAILING ADDRESS: STREET PO Box 2415 c,Tv Kirkland STATE WA zIP 98083 OWNER PHONE:425-948-5356 OWNER EMAIL: 1 keeper4me@gmall.COm CONTRACTOR COMPANY NAME:ChrySallS Homes, LLC WA STATE CONTRACTOR LICENSE #(REQUIRED):CHRYSHL838J5 ICITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 57399 CONTRACTOR ADDRESS: 1T1EETP0 BOX 2415 c„,, Kirkland STATE WA z,p 98083 CONTRACTOR PHONE 425-948-5356 1CONTRACTOR EMAIL:1 keeper4me@gmall.COm PRIMARY CONTACT: ❑ OWNER ❑✓ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Mike Smith CONTACT PHONE:425-948-5356 CONTACT EMAIL:1 keeper4me@gmall.Com BUILDING INFORMATION VALUATION OF WORK: $150,000 1ASSOCIATED 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:N/A PROPOSED USE OF BUILDING:NeW ADU over 2 Car garage HEAT SOURCE: []Gas ❑✓ Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑✓ ADU ❑Multi -Family - # Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT (check all that apply) : ✓INew Construction ❑✓ Addition ❑Remodel ❑Repair ❑T.l. ❑Change of Use ❑Modular ❑Portable ❑Re -roof El Exterior Alteration ❑Tank (above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank (above ground) ❑Other: DESCRIPTION OF WORK:ConstrUCt a new ADU Over a two Car garage next to the Main House. T. r�E JUN 2021 0 CITY OF EVERETT 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 PER 2-10G r OE: (Revised 21812021) r