1607 RUCKER AVE 2023-04-07 - Laserfiche WebLink

• IMMO 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, WAS Hi eteroti then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION:(P)425.257.8010 I(E)everetteps@overettwa.gov I(W)everottwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STnOST 1607 Rucker Ave PARCEL Ik 00438034200300 ctry Everett sort: WA 7np 98201 SUITE/UNIT 11: FLOOR II: ADDITIONAL LOCATION INFORMATION(if applicable): TENANTIBUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction. Short Plat/subdivision Lot No (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Ski Mei Wong f F Ir;( 1),rt!) OWNER MAILING ADDRESS: suitor 10722 20th Ave NE cnv Seattle STATE WA 71p 98125 OWNER PHONE: 425-610-7388 OWNER EMAIL: rentalmanagement23@gmail.com CONTRACTOR COMPANY NAME: WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE titREQUIRED): CONTRACTOR ADDRESS: STREET cnv STATE SIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: D OWNER U CONTRACTOR ru OTHER{Please Specify)— CONTACT NAME: CONTACT PHONE:206-280-8757 Eric Ding CONTACT EMAIL:ericgtid@gmail.Corn BUILDING INFORMATION VALUATION OF WORK: h LI tn • ASSOCIATED LAND USE PROJECT k(if applicable): (Vatuaban shall Include the pro utg felt market vanue of ak,labos,matonats,and equlpmant needed to complete tho work.whether adimlly paid or not) EXISTING USE OF BUILDING: VacanV PROPOSED USE OF BUILfitl6t ' HEAT SOURCE: ®Gas ❑Electric DOther BUILDING TYPE: EIZSFR DTownhouse ❑Duplex EIADU ❑Muili•Family-It Units: ❑Commercial []Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition R..11Remodel ❑Repair (-3T.I, [(Change of Use °Modular DPortable (Re-roof ❑Exterior Alteration [(Tank(above ground) [)Accessory Structure ❑Fence over 7ft high ❑RackStorage [(Pool/Hot Tub ❑Tank(above ground) [Other: DESCRIPTION OF WORK: Interior remodel ACKNOWLEDGEMENT:t have rev/awed this application and conlhrn the intomiatkin contained heroin Is hue and col reel Work done pursuant to this permit must comply with current fede 1,stale,and locallew.The granting of a permit only authorizes approved work and no deviations therefrorn.Deviations must test be authorized In writing from the Building Official before being authorized under any circumstance.I am the owner,or t am authorized by the owner of this property to perform the Work for which application is made, and 1 comply with the State Contractors Law tan RCW and 240.200A WAG City of Everett Official Use Only I (( r ZD� P 1T11 D6t '() f,� y0wnoi?fAuthorized Agent Signature Date (Row c 2l0/°021) i