2217 MCDOUGALL AVE 2023-11-01 - Laserfiche WebLink

BUILDING PERMIT APPIWATION 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 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 2217 MC Dougall Ave. PARCEL #: 00401547300900 CITY Everett STATE WA ZIP 98201 SulE/UNIT #: FLOOR #: ADDITIONAL LOCATION INFORMATION (if applicable): TENANTIBUSINESS NAME (if non-residential): LEGAL DESCRIPTION for new construction: Short Plattsubdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Lamb Land LLC OWNER MAILING ADDRESS: STREET 610 1 st St. CITY Snohomish STATE WA ZIP 98290 OWNER PHONE: OWNER EMAIL: lyndsay@lambandcompany.com CONTRACTOR COMPANY NAME: ,r ^ t C V) (i —yam , WA STATE CONTRACTOR LICENSE #(REQUIRED): (� tt 1" t qW J CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): i Z� C CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR 0 OTHER (Please Specify) Agent CONTACT NAME: Elizabeth Clay CONTACT PHONE:206.660.0890 CONTACT EMAIL:elizabeth@claydesignllc.onmicrosoft.com BUILDING INFORMATION VALUATION OF WORK: $ 50,000 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:Single family residence PROPOSED USE OF BUILDING: no change 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: Interior remodel of existing SFR: remove existing bathroom and infill one window opening. New: two remodeled bathrooms and kitchen. 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. 7/21 /21 Signature (/ Date City of Everett Official Use Only PERMIT # -Zi Ck% (Revised 21812021) t / Z