3314 WETMORE AVE A,B,C,D,E 2023-04-10

BUILEG 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)PermitServices@everettwa.gov l(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3314 Wetmore Avenue PARCEL#: 00436979102300 cm( 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:George Lakman-Lakeshore Corporation OWNER MAILING ADDRESS: STREET 613 Market Avenue CITY Kirkland STATE WA ZIP 98033 OWNER PHONE:425-417-3863 OWNER EMAIL: geoff@lakeshorecorp.com CONTRACTOR COMPANY NAME:COrnerStOne Roofing, Inc. WA STATE CONTRACTOR LICENSE#(REQUIRED):CORNERI01 1 CM CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 33560 CONTRACTOR ADDRESS: STREET17624 15th Avenue SE #101A CITY Bothell STATE WA ZIP 98012 CONTRACTOR PHONE:425-485-0111 CONTRACTOR EMAIL:krlsty@Cornerstoneroofing.com PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-786-5241 Craig CONTACT EMAIL:krlsty©cornerstoneroofing.com BUILDING INFORMATION VALUATION OF WORK:$27,783.00 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:Multi-Family PROPOSED USE OF BUILDING: HEAT SOURCE: ElGas ❑Electric ❑Other 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: DESCRIPTION OF WORK:Remove existing asphalt shingles and install new asphalt shingles. 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 PERMIT# i Sill h , v 0 6 er/Authorizgent Sign a Date (Revised 4/21/2022) I��