4320 THOMSON AVE 2023-08-10 - Laserfiche WebLink

BODING PERMIT APPLICAT40N 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 1 (E) everetteps@everettwa.gov I (W) everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 4320 Thomson Ave PARCEL #: 00605501600303 CITY Everett STATE WA ZIP 98201 SUITE/UNIT #: FLOOR #: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME (if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: REFER to sheet G02 Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Ryan Kilby OWNER MAILING ADDRESS: STREET 2517 Colby Avenue CITY Everett STATE WA ZIP 98201 OWNER PHONE: (425) 355 0353 OWNER EMAIL: ryan@williamsinvest.com CONTRACTOR COMPANY NAME ` WA STATE CONTRACTOR LICENSE #(REQUIRED t,q OF EVERETT BUSINESS LICENSE #(REQUIRED): S` CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑✓ OTHER (Please Specify) ARCHITECT CONTACT NAME: Mi ae Stevens CONTACT PHONE: (425) 530 5646 CONTACT EMAIL:michaels@dykeman.net BUILDING INFORMATION VALUATION OF WOR $ 236,5 0 O ASSOCIATED LAND USE PROJECT # (if applicable): (Valuation shall include the prev ling f ' market valLjfi of all labor, materials, and equipment needed to complete the work, whether actually paid or not.) EXISTING USE OF BUILD G: Single amity Residential PROPOSED USE OF BUILDIN : ame HEAT SOURCE: ❑Gas ❑✓ Electric ❑Other BUILDING TYPE: ❑✓ SFR ❑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: •nomnlitinn�_ef an existo acr^' e- c � -Construction of a new one-story single family house. ACKNOWLEDGEMENT: 1 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. . �. Stefano Zuccaa•..+. 4/13/2021 Owner/Authorized Agent Signature Date City of Everett Official Use Only PEPekn #^ t r r Ol-A D (Revised 21812021) v 1 l/ �