5019 COLBY AVE 2024-02-26 - Laserfiche WebLink

BUILDING PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETTSUBMITTAL 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 I NFORMATION: (P) 425-257-88101 (E) PermitServices@everettwa.gov I (W) everetwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 5019 Colby ave PARCEL #: CITY Everett STATE Wa Zp 98203 SUITEIUNIT #: 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:Dave Schuermarl OWNER MAILING ADDRESS: STREET 5019 Colby Ave CITY Everett STATE Wa Zp 98203 OWNER PHONE:425-422-1687 1OWNER EMAIL: ddSchuerm@yahoo.com CONTRACTOR COMPANY NAME:DaVIS Construction inc WA STATE CONTRACTOR LICENSE #(REQUIRED):DAVISCI011 DK CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): CONTRACTOR ADDRESS: STRE118 W Marilyn Ave CITY Everett STATE WA Zp 98204 CONTRACTOR PHONE:425-501-9556 1CONTRACTOR EMAIL:daviscorlStructiorlitic@hotmail.com PRIMARY CONTACT: ❑ OWNER IV] CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Jeff Davis CONTACT PHONE:425-501-9556 CONTACT EMAIL:daviscorlStructiorlitic@hotmail.com BUILDING INFORMATION VALUATION OF WORK: $2,500 1ASSOCIATED 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:ReS PROPOSED USE OF BUILDING: 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: Drywall permit only Replace water damaged drywall 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. 1 am the owner, or 1 am authorized by the owner of this property to perform the work for which application is made, and 1 c&npl with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT # (Revised 4212022)