2126 124TH ST SE 2023-07-03 - Laserfiche WebLink

•ILDING PERMIT APPLIC4ON 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 2126 124th ST SE PARCEL#: `b V `Tl ��-JU.)'hy( )b L O CITY Everett STATE WA ZIP 98208 l.J 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:Bikrampal S Pannu OWNER MAILING ADDRESS: STREET 2126 124th ST SE CITY Everett STATE WA ZIP 98208 OWNER PHONE:4255302086 OWNER EMAIL: bikrampannu78@gmail.com CONTRACTOR COMPANY NAME WA STATE CONTRACTOR LICENSE#(REQUIRED):TEM CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 5 66 L CONTRACTOR ADDRESS: STREET 7T t^'IK 1,$3l CITY STATE ZIP CONTRACTOR PHONE: — 372—E;37--_ CONTRACTOR EMAIL: 'Ta_E" O IL( PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Architect CONTACT NAME: CONTACT PHONE:25379771 60 JI m CONTACT EMAIL:bikrampannu78@gmail.com BUILDING INFORMATION VALUATION OF WORK: $100,000.00 ASSOCIATED LAND USE PROJECT#(if applicable):WA (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:Primary Residence PROPOSED USE OF BUILDING:Primary Residence HEAT SOURCE: LiGas ElElectric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ONew 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:Adding two bedrooms and one bathroom to existing house for primary residence. 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 • PERMIT# Owner hotized'Agent Signature Da (Revised 2/8/2021)