6217 W BEECH ST 2023-06-29 - Laserfiche WebLink

BOLDING PERMIT APPLICAllpN 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 1 (E)PermitServices@everettwa.gov I (W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 6217 W Beech St PARCEL#: 00612000007300 CITY Everett STATE WA z,P 98203 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME (if non-residential):N/A LEGAL DESCRIPTION for new construction: Short Plat/subdivision: WESTWOOD PLAT Lot No.: 73 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:CHIANG KYLA BRIANNE BALFOUR & PETER JEFF OWNER MAILING ADDRESS: STREET 6217 W BEECH ST CITY EVERETT STATE WA ZIP 98203 OWNER PHONE:843-447-9000 OWNER EMAIL: team@permits.com CONTRACTOR COMPANY NAME:WM Contractor Holdings LLLC WA STATE CONTRACTOR LICENSE#(REQUIRED):WMCONCH794QA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED : CONTRACTOR ADDRESS: STREET 2608 2nd Ave, #189 to CITY Seattle STATE WA ZIP 98121 CONTRACTOR PHONE:843-477-9000 CONTRACTOR EMAIL:team@permits.com PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER (Please Specify) CONTACT NAME: CONTACT PHONE:843-447-9000 Tela-Marie CONTACT EMAIL:team@permlts.com BUILDING INFORMATION Y1 VALUATION OF WORK: $14,5000 �j COO ASSOCIATED LAND USE PROJECT#(if applicable): vj {n 2Z61-U L , (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 Res. PROPOSED USE OF BUILDING:Single Family Res. HEAT SOURCE: OGas DElectric ❑Other BUILDING TYPE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial DAccessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction DAddition DRemodel DRepair DTI. ❑Change of Use ❑Modular OPortable ❑Re-roof DExterior Alteration ❑Tank (above ground) DAccessory Structure ❑Fence over 7ft high DRackStorage ❑Pool/Hot Tub ❑Tank(above ground) DOther: DESCRIPTION OF WORK: Residential Renovation - Bathroom remodel. Replace tub with shower, update vanity sink, switches, heater/fan, heated floor. ca,A-miti& -- fly : Lim ACKNOWLEDGEMENT:l 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 Aug 26, 2022 PEWIT#j221©—' o IL\ Owner/Authorized A nt ur Date (Revised 4/21/2022)