5406 OCEAN AVE 2022-11-18 - Laserfiche WebLink

BNLDING PERMIT APPLICATI 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 5406 Ocean Ave PARCEL#: 00396700400100 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: Bridle Park Lot No.: 1 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Mitch and Sally MUllanlx OWNER MAILING ADDRESS: STREET 5406 Ocean Ave C11Y Everett STATE WA ZIP 98203 OWNER PHONE:425-347-2831 OWNER EMAIL:jnkminx@comcast.net CONTRACTOR COMPANY NAME:n/a WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-308-1435 Mitch Mu l l a n ix CONTACT EMAIL:jnkmInx@comcast.net BUILDING INFORMATION VALUATION OF WORK:$15,000 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:residential PROPOSED USE OF BUILDING:reSldential HEAT SOURCE: ❑✓Gas ❑Electric ❑Other BUILDING TYPE: ESFR ❑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: DESCRIPTION OF WORK:Adding a covered front porch to the front of the house. 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 cufhorized under any.circumstance.I an,Lie caner,or I urn authorized by the owner of this property to perform the work for v:hidr application is;;IEC>, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only y� a5/...0/ am#//j1e,a../ � � - 0 Lo Owner/Authorized Agent Signature. Date (Revised 2/8/2021