1818 HOLBROOK AVE B 2023-07-31 - Laserfiche WebLink

• • BUILDING PERMIT APPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES 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 1818 Holbrook Ave PARCEL#: 00549401100703 cm, Everett STATE WA ZIP 98203 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):Jamie Gibson LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Jamie Gibson OWNER MAILING ADDRESS: STREET 1818 Holbrook Ave cnv Everett STATE WA ZIP 98203 OWNER PHONE:(727) 207-55973 OWNER EMAIL:jamie.gibson@sbcglobal.net CONTRACTOR COMPANY NAME:Gathered House LLC WA STATE CONTRACTOR LICENSE#(REQUIRED):GATHEHL834N5 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 63301 CONTRACTOR ADDRESS: sTREET20812 NE 89th St c,Tv Redmond STATE WA zip 98053 CONTRACTOR PHONE:4255917154 CONTRACTOR EMAIL:c'harlie@gatheredhouse.com PRIMARY CONTACT: ❑OWNER ©CONTRACTOR ElOTHER(Please Specify)_ CONTACT NAME: CONTACT PHONE:425-591-7154 Charlie Apel CONTACT EMAIL:charlie@gatheredhouse.com BUILDING INFORMATION VALUATION OF WORK:$85,582 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 residential PROPOSED USE OF BUILDING:Single family residential 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: Remodel master bathroom and closet upstairs. Remove chimney. Remodel partially finished basement and garage for living, kitchen, bedroom, and bathroom. 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# � � O / l LC I et z�'o Owner/Auth ed Agent Si.�iCJ' re Date (Revised 2/8/2021)