3018 46TH PL SE 2023-04-26 - Laserfiche WebLink

• BUILDING PERMIT APPLICATIA CITY OF EVERETT PERMIT SERVICES EVERETTSUBMITTAL 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)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3018 46th PI SE PARCEL#: Q/( g'Ya 00 Op 34,aQ crTy 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. Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Kendall Bodnar OWNER MAILING ADDRESS: STREET 3018 46th PI SE ciTy Everett STATE wa ZIP 98203 OWNER PHONE:760-390-6455 OWNER EMAIL: kjbodnar@gmail.com CONTRACTOR COMPANY NAME:Seattle Shade and Awning WA STATE CONTRACTOR LICENSE#(REQUIRED):SeattSa816mh CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 61463 CONTRACTOR ADDRESS: sTREET21 00 196th St SW suite 111 ciTy lynnwood STATE wa ZIP 98036 CONTRACTOR PHONE:206-850-6520 CONTRACTOR EMAIL:Seattleshadeandawning©gmail.com PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-850-6520 Rob Holt CONTACT EMAIL:seattleshadeandawning@gmail.com BUILDING INFORMATION VALUATION OF WORK: $60,000 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 residence PROPOSED USE OF BUILDING:single family residence HEAT SOURCE: ❑Gas ❑Electric ❑Other BUILDING TYPE: ❑✓SFR ❑Townhouse ❑Duplex ❑ADU El Multi-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check a/I that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair I. ❑Change of Use ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) AAAccessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK:Installation of new aluminum louvered pergola 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#.,t 27 n �y�-7 J1�,� �/,!/�rlJ1 rl�°et; Own (Authorized Agent Signature Date (Revised 4/21/2022) /7—