2225 100TH ST SE 2023-08-01 - Laserfiche WebLink

$1P B LDING PERMIT APPLICATI CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for subrnittai requirernents and number of cbpies required for reView„ wAstileeroN 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 (E)PermitSenrices@averettwa.goy (W)everettwa,goy/pemlits (Blue or Black Ink Only Please) PROJECT SITE INFORMATOOk PROJECT SITE ADDRESS: STREET 2225 100th Street>1 PARCEL#: 280517-008-107-00 ciTy Everett WA STATE 98208 SUITE/UNIT it: N/A FLOOR#: 1 ADDITIONAL LOCATION INFORMATION(if applicable); NA TENANT/BUSINESS NAME(if non-residential):N/A LEGAL DESCRIPTION for new construction: Short Plat/subdivision: 1202-017-02 Lot No.:1 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Wadi Lissa Karlin Lissa OWNER MAILING ADDRESS: STREET 17422 74th DR NE cn-y Arlington STATE WA ap 98223 OWNER PHONE:(425) 319-2403 OWNER EMAIL: lissawaell@grnail.oOrnikarlinlissahomes©grnail.corn CONTRACTOR COMPANY NAME:HONEST LLC UBI: 604 824 517 2.42)2.2 WA STATE CONTRACTOR LICENSE#(REQUIRED):HONESL*792QT CITY OF EVERETT BUSINESS LICENSE#(REQUIRED); HONESL*7920T CONTRACTOR ADDRESS: STREET 525 NE Northgate Way#348 crry Seattle STATE WA Zip 9S125 CONTRACTOR PHONE:425-753-0488 CONTRACTOR EMAIL:dru@h0nest-lle.cOm PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 1:1 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-361-9109 425-319-2403 Karlin Lissa / Wadi Lissa CONTACT EMAIL:lissawadi@gmail.com/kar!inIissahomesgrnaiI.com BUILDING INFORMATION VALUATION OF WORK:$16000 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevailing fair market value of all Tabor,materials,and equipment needed to complete the work.whether actually paid or not.) EXISTING LISE OF BUILDING:SFR PROPOSED USE OF BUILDING:SFRAlterati0/1 HEAT SOURCE: 0Gas IZElectric 00ther BUILDING TYPE: IZ1SFR 0Townhouse ODuolex EADU 0Multi-Farnily-#Units: 00ornniercial 0Accessory Structure TYPE OF PROJECT(check all that apply) 0New Construction ZAddition ORernadel IZiRepair OT.I. I:Change of Use EModular ElPortable 0Re-roof DExterior Alteration 0Tank(above ground) 0Accessory Structure 0 Fence over 7ft high ORackStorage 0P0011Hat Tub Drank(above grcund) DOther: DESCRIPTION OF WORK: SRF Addition, Remodel, Add Porch,.Deck repair Previous perrnit#BW2012-004 AciolowLEpGEmENT: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 he authorized in writing Porn the Building Official before being authorized under any circumstance,lam the owner,or!am authorized by the owner of this property to perform the work for-which application is made, and I comply with the State Contract re-taw- .27 ReW and 296.200A WAa city of Everett Official Use Only T# 8/8/2022 P - 0()(-4 Ovvrter/Authorized Agent Sign re Date (Revised 4/2112022)