2712 HEWITT AVE 2023-12-07 - Laserfiche WebLink

WILDING PERMIT APPLICAT EVERETT CITY OF EVERETT PERMIT SERVICES SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements apECEINElli) tuber pI s q for re WASHINGTON then drop off completed application plus all required submittal documents to 3200Street 2nd Floor In a e Drop ( CONTACT INFORMATION:(P)425-257-8810 I(E)PermitServices@everettwa.gov I(W)tgrra ox/�er,�r)i (Blue or Black Ink Only Please) PROJECT SITE INFORMATION P . i f Q rv'CQt PROJECT SITE ADDRESS: STREET 2712 HEWITT AVENUE PARCEL#: 005936-693-003-00 cry EVERETT STATE WA ZIP 98201 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residenti . ,, LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:GLOBODYNE INDUSTRIES OWNER MAILING ADDRESS: STREET 3007 EVERETT AVENUE CITY EVERETT STATE WA ZIP 98201 OWNER PHONE:425-$79-3437 OWNER EMAIL: brianbodge@msn.COm CONTRACTOR COMPANY NAME:OWNER S 16L. l tC� � WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: El OWNER El CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME:�R I A N BODGE CONTACT PHONE:425-$79-3437 CONTACT EMAIL:brianbodge@msn.com BUILDING INFORMATION VALUATION OF WORK:$35,000 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:RETAIL PROPOSED USE OF BUILDING:RETAI L 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 ERackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK:Restoration of weathered and cracked brick masonry of the exterior walls. Legal Description: LOTS 3,4 AND 5, BLOCK 693, SWALWELLS 2ND ADDITION TO THE CITY OF EVERETT, ACCORDING TO THE PLAT THEREOF RECORDED IN VOLUME 3 OF PLATS, PAGE 11, RECORDS OF SNOHOMISH COUNTY,WASHINGTON. SITUATE IN THE COUNTY OF SNOHOMISH, STATE OF WASHINGTON. 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 3/9/1°' :2-3 80P1 3 PERMIT# Owner/Authorized Anent Signature Date (Revised 4/21/2022)