2405 STATE ST 2025-03-10 - Laserfiche WebLink

INN BIM" ING PERMIT APPLICATIC' 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)PermitServices@everettwa.gov I (W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2405 State St PARCEL#: 00515653601300 CITY 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: Miley Land Co S 1st ADD BLK S36 D-00 Lot No.: 138148 S LOFT LOT 15 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Robert Wyatt OWNER MAILING ADDRESS: STREET 2405 State St CITY Everett STATE WA zip 98201 OWNER PHONE: (425) 879-7698 OWNER EMAIL: jesuszone@live.com CONTRACTOR COMPANY NAME: TBD' tio v ; WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑OWNER U CONTRACTOR OTHER(Please Specify) Revive Properties,LLC,Project Management CONTACT NAME: CONTACT PHONE: (360) 961-3638 Steve Hall CONTACT EMAIL: steve@rp-partners.com BUILDING INFORMATION VALUATION OF WORK: $125,000 ASSOCIATED LAND USE PROJECT#(if applicable):REV 1121-022 (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 w/ DADU & attached garage HEAT SOURCE: ❑Gas ✓❑Electric ❑Other BUILDING TYPE: ✓❑SFR ❑Townhouse ❑Duplex IT1ADU ❑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 HTank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: Construct a detached, 2-story building that will have a single car garage on the first floor, with a dwelling/living area that encompasses the remaining first floor area, and the entire second floor. 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 Steve Hall Digitally signed by Steve Hall PERMIT# Date:2022.09.19 17:48:30-07'00' 4 Jc7�Q �J - o �l Owner/Authorized Agent Signature Date (Revised 4/21/2022) ( �J