2916 LEONARD DR 2023-07-28 - Laserfiche WebLink

AILDING PERMIT APPLICAON 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) 425.257.88101 (E) everetteps(&everettwa.ciov I (W) everettwa,clovl)ermits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2916 LEONARD DR PARCEL M cnv EVERETT STATE WASHINGTON ziP 98201 SUITE/UNIT #: FLOOR #: ADDITIONAL LOCATION INFORMATION (if applicable): TENANTIBUSINESS NAME (if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: RANDY WILEY OWNER MAILING ADDRESS: STREET 2916 LEONARD DR city EVERETT STATE WA z,, 98201 OWNER PHONE: 425-359-1090 OWNER EMAIL: WILEYHOMETEAM@GMAIL.COM CONTRACTOR COMPANY NAME: PETERSON BROS DRYWALL LLC WA STATE CONTRACTOR LICENSE #(REQUIRED):601628522 CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 055911 CONTRACTOR ADDRESS: SMEET6205 192ND ST #3 cnY ARLINGTON STATE WA zlP 98223 CONTRACTOR PHONE:360-658-2566 1CONTRACTOR EMAIL:DARRYL.PETERSONBROS@HOTMAIL.COM PRIMARY CONTACT: El OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: QARRYL PETERSt7N CONTACT PHONE:360-658-2566 CONTACT EMAIL:DARRYL,PETERSONBROS@HOTMAIL.COM BUILDING INFORMATION VALUATION OF WORK: $200.00 oc ASSOCIATED LAND USE PROJECT # if applicable): (Valuation shall Include the prevailfng fair market value df 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 Z✓ Electric ❑Other BUILDING TYPE: CI✓ SFR ❑Townhouse []Duplex ❑ADU ❑Multi -Family - # Units: ❑Commercial ElAccessory Structure TYPE OF PROJECT (check all that apply) : ❑New Construction ❑Addition ❑Remodel R1 Repair EIT.I. ❑Change of Use []Modular Portable ❑Re -roof ❑Exterior Alteration ❑Tank (above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pooi/Hot Tub OTank (above ground) []Other: DESCRIPTION OF WORK: SWITCHED OUT LIKE FOR LIKE ITEMS AND PATCHED SHEETROCK 'Z�Cwk',A 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 4e-A�- 3-7-22 P. IT �`( "ll, — C - ` S Agent Signature Date (Revised 2/812021) � I