8411 E XAVIER WAY 2023-10-16 - Laserfiche WebLink

• 0 um az BUILDING PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 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 INF RMATION:(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 84 iYExavier Way PARCEL#: 00394200000101 CITY Everett STATE WA zip 98208 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION(if applicable): TENANT/BUSINESS NAME(if non-residential):Titan Real Estate Holdings LLC LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Titan real estate holding LP OWNER MAILING ADDRESS: STREET 7188 169th ave se ow Bellevue STATE WA ZIP 98006 OWNER PHONE:425-598-8888 OWNER,EMAIL: kedo1009@gmail.com CONTRACTOR COMPANY NAME:owner WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: •CONTRACTOR EMAIL: PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:626.200.5079 Victor Sung CONTACT EMAIL:viczictor@gmail.com BUILDING INFORMATION VALUATION OF WORK:$ $6,000 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevailing fair market value of all labor,mate Is,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING:Residential \v 1 fk\tJe, "_ ?AAA-A-- t.j� V99 (- PROPOSED USE OF BUILDING:Residential HEAT SOURCE: ❑Gas ❑Electric ❑Other BUILDING TYPE: I7]SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory cture TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ©Remodel ❑Repair ❑T.I. ❑Change of Use ❑Modular ❑Portable ❑Re-roof ©Exterior Alteration ETank(above ground) EAccessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: Demolition of existing shed and deck, and cony —e •�• .: ► . garage. iL_ �.' Novo 4 �a�� CITY OF EVERETT Q2lo.ZZ 8C -��A 77 s-tv�t = ela)-5 3 Permit Services 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 1 am authorized by the owner of this property to perform the work for which application Is made, and l comply with the State Contractors Law 18.27 RCW and 298.200A WAC. City of Everett Official Use Only 4,L. 2Q3 10/24/2021 Owner/Authorized Age nature Date (Revised 2/8/2021) 11 21