2312 W MUKILTEO BLVD 2023-06-22 - Laserfiche WebLink

BIDING PERMIT APPLICAT•N 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)everetteps@everettwa.gov I (W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2312 W. MUKILTEO BLVD. PARCEL#: 00417000300305 cmi' 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:TRACY TRAN-CAO OWNER MAILING ADDRESS: STREET 2312 W. MUKILTEO BLVD. ciTy EVERETT STATE WA zip 98203 OWNER PHONE:425-331-6323 OWNER EMAIL: TRAN.TRACY21@YAHOO.COM CONTRACTOR COMPANY NAME: (fl/J f• lSZA WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-331-6323 TRACY TRAN —C/qO CONTACT EMAIL:TRAN.TRACY21 @YAHOO.COM BUILDING INFORMATION VALUATION OF WORK: $10,000 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:RESIDENCE PROPOSED USE OF BUILDING:NO CHANGE HEAT SOURCE: ❑Gas ❑✓Electric ❑Other BUILDING TYPE: ESFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): New Construction ❑Addition ✓❑Remodel ❑Repair T.I.❑ Change of Use ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK:Response to a stop work order.Case#CE21-0336 1.Replacement of windows 2.Relocation of non-load bearing hall wall to widen hall 3.Reconfiguration of closets at bedroom 1&2 4.Converting of Bedroom 2 closet to bathroom 5.Main bathroom upgrades with revised location of toilet and sink 6.Kitchen revisions per plan 7.Laundry room relocation of W/D 8.Moving of HWT to Garage 9.Drywall at relocated interior walls(non bearing walls) 10.Insulate at exterior window revisions as necessary. 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 L-61 � � �� PERMIT# WZlo(0 Dad 5/27/2021 Owner/Authorized Agent Signature Date (Revised 2/8/2021)