3322 52ND PL SW 2023-05-31 - Laserfiche WebLink

BUILDING PERMIT APPLICATION EVERETT CITY EVERETT PERMIT R SUBMITTAL INSTRUCTIONS:See applicableOF submittal checklist forSE submittalVICESrequirements and number of copies required for review, WASFHI NOTON then drop off competed applicat on plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box CONTACT INFORMATION:(P)425.257 8810 I(Ei everetteps©everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STRir 3322 52nd PL SW PARCEL#: 00396700203200 c,rr 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:LEROY&SU-HONG COONS OWNER MAILING ADDRESS: sTREc- 3322 52nd PLACE SOUTHWEST crTv EVERETT STATE WA zip 98203 OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME:RAEWARD CONSTRUCTION LLC cam` 1NA STATE CONTRACTOR LICENSE#(REQUIRED): fZ C itaCITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: sTREE'5129 EVERGREEN WAY, SUITE D#288 crry EVERETT STATE WA 71a 98203 CONTRACTOR PHONE:(425)350-6812 CONTRACTOR EMAIL:RAEWARDCONSTRUCTIONLLC@GMAIL.COM PRIMARY CONTACT: 0 OWNER ©CONTRACTOR ©OTHER(Please Specify) NANCY GOODIN,APPLICANT/DESIGNER CONTACT NAME: Q CONTACT PHONE:(425)350-6812 DOU G WARD`D CONTACT EMAIL:RAEWARDCONSTRUCTIONLLCOGMAtL COM&NANCYGOODIN*GMAIL COM, BUILDING INFORMATION VALUATION OF WORK:$ CC C) 7ASSOCIATED LAND USE PROJECT#(if applicable): Re yr(21—CN-I (Valuation shal include the prevaitng fair market value of al labor materials and equpment needed to comaiete the wort whether actual; aid or not.) EXISTING USE OF BUILDING:SINGLE-FAMILY RESIDENTIAL-DETACHED PROPOSED USE OF BUILDING:SINGLE-FAMILY RESIDENTIAL HEAT SOURCE: ❑Gas LEtectric G3Other reg 6 D i-it /l"i4'Gt"1.fictialei KC c:fvslj /A/ 3,45.5041c,,Ar BUILDING TYPE: ©SFR ❑Townhouse 7Duplex ❑ADU ❑Multi-Family• #Units _ ❑Commercial DAccessory Structure TYPE OF PROJECT(check all that apply): t_New Construction i_DAddition tRemodel ['Repair ❑T I ❑Change of Use ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ETank(above ground) r lAccessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground! ©Other'ADD ACCESSORY DWELLING UNIT(ADODESCRIPTION OF WORK:CONVERT 990 SF OF EXISTING FINISHED BASEMENT TO ACCESSORY DWELLING UNIT. INTERIOR ALTERATIONS ONLY, NO CHANGE OF BUILDING FOOTPRINT. ACKNOWLEDGEMENT:1 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,slate 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 1 am the owner,or I am authorized by the owner of this property to perform The wort,for which application is made and 1 comply with the State Contractors Law 18 27 RCW and 296 200A WAC City of Everett Official Use Only SIAAA(C/V7 041 PERMIT# _O ' t � V if Owner/Authorized Agent Signature Date (Revised 2J82021)