2124 CHESTNUT ST 2023-09-25 - Laserfiche WebLink

MINN •ILDING PERMIT APPLICA&N 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 i(E)PermitServices@everettwa.gov i(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2124 Chestnut Street PARCEL#: 00685300000400 CITY Everett STATE WA ZIP 98201 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 NAME:John & Saraya Barton OWNER MAILING ADDRESS: STREET 2124 Chestnut Street cm( Everett STATE WA ZIP 98203 OWNER PHONE:425-737-5443 OWNER EMAIL: CONTRACTOR COMPANY NAME:Four Seasons Roof& Remodel Services Inc. WA STATE CONTRACTOR LICENSE#(REQUIRED):fOUrSrSO 16ga CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 36927 CONTRACTOR ADDRESS: STREET17903 HWY 9 SE CITY Snohomish STATE WA ZIP 98296 CONTRACTOR PHONE:425-388-9906 CONTRACTOR EMAIL:info@fourseaSonsroof.COm PRIMARY CONTACT: 0 OWNER ✓❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-508-4737 Travis Hendrickson CONTACT EMAIL:travis@fourseasonsroof.com BUILDING INFORMATION VALUATION OF WORK: $15,000.00 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:Residential Duplex PROPOSED USE OF BUILDING: HEAT SOURCE: ❑Gas ✓❑Electric ❑Other BUILDING TYPE: EISFR ❑Townhouse ❑✓Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ElAccessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑✓Repair ❑T.l. ❑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:Remove glass bay window installed over framed bump-out. Fill in like framing to roof and exterior wall. Install new 60" x 36" windows and new cedar siding and trim. There is no electrical or plumbing. 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 I 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. City of Everett Official Use Only 08-09-22 PERMIT,#,/): Og 0.51- Owner/Auth zed Agent Signature Date (Revised 4/21/2022) 1J / ?