1524 W MUKILTEO BLVD 2023-07-31 - Laserfiche WebLink

BUILDING PERMIT APPLICATIA EVERETT WASHINGTON CITY OF EVERETT PERMIT SERVICES SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, 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 1524 W IALIKILTEO BLVD PARCEL #: 00505700003801 clTY 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: KRISTIN EDWARD OWNER MAILING ADDRESS: STREET 1524 W. MUKILTEO BLVD CITY EVERETT STATE WA Zip 982903 OWNER PHONE. 425.275.7546 OWNER EMAIL: kristinadairedward@gmail.com CONTRACTOR COMPANY NAME D WA STATE CONTRACTOR LICEN (REQUIRED): CITY OF EVERETT BUSINESS LICENSE #(RFQUIRFD): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑✓ OTHER (Please Specify) ARCHITECT CONTACT NAME: GARIN SCHENK CONTACT PHONE:206.931.0990 CONTACT EMAIL: GAR IN@ARCHSTUDIOEVERETT.COM BUILDING INFORMATION VALUATION OF WORK: $ 90.000.00 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: PROPOSED USE OF BUILDING: DETACHED ACCESSORY DWELLING UNITIGARAGE HEAT SOURCE: R Gas ❑Electric I lOther BUILDING TYPE: nSFR CTownhouse ❑Duplex 7ADU ❑Multi -Family - # Units. FICommercial WAccessory Structure TYPE OF PROJECT (check all that apply) : CNew Construction ❑Addition ❑Remodel CRepair CT.I. CChange of Use CModular CPortable RRe-roof CExterior Alteration CTank (above ground) ❑✓ Accessory Structure CFence over 7ft high [—RackStorage F—Pool/Hot Tub F 1Tank (above ground) COther: DESCRIPTION OF WORK: CONSTRUCT NEW, DETACHED A.D.U./GARAGE BUILDING, WHICH WILL BE ACCESSED ON THE EAST SIDE VIA PAVED PORTIONS OF THE UTILITY EASEMENT. ACKNOWLEDGEMENT: / 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 l 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. Owner/Authorized Agent Signature 6.8 2022 Date City of Everett Official Use Only P E LLJ (�c "— O (Revised 21812021)