1038 WOODLAWN AVE 2023-09-14 - 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 l(E)PermitServices@everettwa.gov l(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1038 Woodlawn Ave PARCEL#: CITY 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 NAMENictor Chung OWNER MAILING ADDRESS: STREET 1038 Woodlawn Ave CITY Everett STATE WA zlP 98203 OWNER PHONE:(206) 818-3705 OWNER EMAIL: vkc88@yahoo.com CONTRACTOR COMPANY NAME:Elite Roofing & Remodel WA STATE CONTRACTOR LICENSE#(REQUIRED):eliterr892Ca CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 602636096 CONTRACTOR ADDRESS: STREETPO BOX 12721 CITY Mill Creek STATE WA ZIP 98082 CONTRACTOR PHONE:425-482-0676 CONTRACTOR EMAIL:info@eliteroofnW.com PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-316-0676 Jesse Draper CONTACT EMAIL:info@eliteroofnw.com BUILDING INFORMATION VALUATION OF WORK:$17000.00 (Valuation shall include the rev ASSOCIATED LAND USE PROJECT#(if applicable): pailing 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 Home 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:Composition tear Off. Composition Installation. 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 Iota!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 authorize ny circumstance.l am the owner,or i am authorized by the owner of this propert to erf n77 the work for which a licatia is made, and t comply with the State tors Law .27 RCW and 296.200A WAC. p y p pp City of Everett official Use Only PERMIT# Owner/Authorized Age Si re Date (Revised 4/21/2022)