1607 RUCKER AVE 2023-05-23 - Laserfiche WebLink

�! B ' DING PERMIT APPLICA N EVERETT CITY OF EVERETT PERMIT SERVICES 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 1607 Rucker Ave PARCEL#: 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: Lot No.: (attach copy of long legal description) CONTACT.INFORMATION OWNER NAME: May Wong OWNER MAILING ADDRESS: STREET 1607 Rucker Ave cm, Everett STATE WA ZIP 98201 OWNER PHONE: 425-610-7388 OWNER EMAIL: relltalmanagement23@gmail.cool CONTRACTOR COMPANY NAME: WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: I]OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-610-7388 May Wong CONTACT EMAIL:rentalmanagement23@gnnail.com BUILDING INFORMATION VALUATION OF WORK: $600 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: PROPOSED USE OF BUILDING: HEAT SOURCE: ❑Gas ❑✓Electric ❑Other BUILDING TYPE: ✓❑SFR ❑Townhouse ❑Duplex EADU ❑Multi-Family-#Units: ElCommercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ERemodel ❑Repair ❑T.I. ❑Change of Use EModular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) EAccessory Structure ❑Fence over 7ft high ❑RackStorage EPool/Hot Tub ❑Tank(above ground) OOther:Deck Replacing DESCRIPTION OF WORK: Replacing new wood for the exsiting rotten deck wood. 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!comply with the State Contractors Law 18.27 RCW and 296,200A WAC. City of Everett Official Use Only 2/6/23 PERMIT#, y�1 ��1 0C'/ Owner/Authorized Agent Signature Date (Revised 4/21/2022) f�'