303 ROSE WAY 2023-06-26 - Laserfiche WebLink

r BUILDING PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES E V E R E T T 8UBMfTTAL INSTRUCTIONS: See applicable sibmiltal chw*lst for submlltal requirements end number of copies required for review, WIs►IINQfop then drev Of competed applicalion plus all regWrec submittal documents to 3200 Ceder Street 2nd Floor Intake Drop Box. CONTACT INFORMATION. (P) 425-257-8810 I (E) PwmilSerAcesQeveretlws.gov ( (W) everettwa.govlpemits (B)ue or Black Ink Only Please) PROJECT SIT! INFORMATION PROJECT SITE ADDRESS, sntrEET Dan Schaefer PARCEL 0- 00541900001706 Ct'Y Everett RATT WA aw 98203 SUIT EIUNIT A: FLOOR>I<: ADDITIONAL LOCATION INFORMATION (if rpplcable): TENANT!BUSINESS NAME (if non-residential). LEGAL DESCRIPTION for new consvwmxo &hurt Pias,subdirn )r: Lut No (attach copy of long legal dowipUarn; CONTACT INFORMATION OWNER NAME: Dan Schaefer OWNER MAILING ADDRESS: s*wF- 303 Rose Way cr^r Everett "Alm WA � 98203 OWNER PHONE: 206-719-6479 JOWNER EMAIL. Paulcan31 a@hotmail.Com CONTRACTOR COMPANY NAME: Guardian Operations LLC WA STATE CONTRAC I OR LICENSE *(REQUIRED):604059205 CITY OF EVERETT BUSINESS LICENSE O(REOUIRED): 61970 CONTRACTOR ADDRESS: STREE- 4020 Aubum Way N ray Aubum rTATT 111,ra � 96002 CONTRACTOR PHONE: 253-617-8407 ICONTIRACTOR EMAIL:p.roseberry@yourguardianrOof.COm PRIMARY CONTACT- ❑ OWNER 0 CONTRACTOR ❑ OTHER (Please Speafyi CONTACT NAME: CONTACT PHONE: 253-617-8407 Peter Roseberry CONTACT EMAIL: P.reseberry@yourguardianroof.com BUILDING INFORMATION VALUATION OF WORK: $22907 fAS8OCIATED LAND USE PROJECT S if a iicablel: I'Vokrstwn sheY rxlude the pro-"Anq for ma et retie c4al labor, mates, ari egiipmert needer, W cnrn"e der actialtv paid F nci.; EXISTING USE OF BUILDING: Residential PROPOSED USE Of BUILDING: Residential HEAT SOURCE: DiGas ❑Elec:tnc 70ther BUILDING TYPE: XFR OTownhouse ❑Duplex DADU ❑Muki-FemNy - p Units ❑Commercial DAccessory Structure TYPE OF PROJECT (c,hw* eU ttw spnry) : ❑New Constructon DAddition JRemodal ❑Re it Oe QT.I. ❑Change of Use C M odul ar CiPortable JRe-foot ❑Exterior Alteration ❑Tank (above ground) LAcr Structure L.Fence over 71ft Ngh DRactcStorags ❑PoolMot Tub DTank (above ground) Mother. DESCRIPTION OF WORK; Re-Roof: Remove one layer of roofing, inspect deck, Install with like. ACXN0%%EDGEAAENT I/►eve reviowed this appAicabon and aon*m the MAyr mon contarned herout,a " end COff0d Wbrk dons pursuant b the pOMA must Comply Wim cunaro"AW, stahn and local In w. The pqmtlrrQ of a perrndr oR►y authmtaes aPxovted wtxit end no dovratibms there*" D&MOOr►t must first he aulhortied it coming kwi the &wohng Offir&w barova Gong aiAh&v*d undtrr any cwrun lencw t ars illxt o7gRw. or I am authonnd by tha owner of this pnlprreiy k-)PUTAurm Ihv WV* for wtmh appkaton is msm. and I carpl'i wr1 !t,e Starr C"r&Ows Law 78 27 RCW and 2W 20GA WAC. C+ry of Evemfl Ofrresr UW Ori. ' 5/23123 PERMIT � OwrerOAuthorized Agent Sbnalike Date (Keys"442142C22)