1632 FULTON ST 2023-06-22 - Laserfiche WebLink

BRDING PERMIT APPLICATIJ 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 1632 Fulton Street PARCEL#: 00438933101500 CITY Everett STATE WA ZIP 98201 SUITE/UNIT#: N/A FLOOR#: N/A ADDITIONAL LOCATION INFORMATION (if applicable):N/A TENANT/BUSINESS NAME(if non-residential):N/A LEGAL DESCRIPTION for new construction: Short Plat/subdivision: N/A Lot No.:N/A (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Sonja Bodge OWNER MAILING ADDRESS: STREET 1632 Fulton Street Cm, Everett STATE WA zIP 98201 OWNER PHONE:206-229-6486 OWNER EMAIL: sonjabodge@gmail.com CONTRACTOR COMPANY NAME: OWN) WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: II OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-229-6486 Sonja Bodge CONTACT EMAIL:sonjabodge@gmail.com BUILDING INFORMATION VALUATION OF WORK:$55,000.00 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:Single Family Residence PROPOSED USE OF BUILDING:Single Family Residence HEAT SOURCE: ❑Gas ❑✓Electric ❑Other BUILDING TYPE: ❑✓SFR ❑Townhouse ❑Duplex EADU EMulti-Family-#Units: ECommercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction EAddition ❑✓Remodel ❑Repair ETA. ❑Change of Use ❑Modular EPortable ERe-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure EFence over 7ft high ERackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK:Raise existing house and add perimeter foundation 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 9-16-2022 PERMIT# g- _ Owner/Authorized Agent g ture Date (Revised 4/21/2022) /z