3430 NORTON AVE 2024-02-20 - Laserfiche WebLink

BL.I_DING PERMIT APPLICATI.,,i+I 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)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3430 Norton Ave, WA PARCEL#: tiny Everett STATE WA ZIP 98201 SUITE/UNIT#: FLOOR#:2 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: Francisco Rivera OWNER MAILING ADDRESS: STREET 3430 Norton Ave, WA �In, Everett STATE wa ZIP 98201 OWNER PHONE: (253) 324-1248 OWNER EMAIL: fjre30@yahoo.com CONTRACTOR COMPANY NAME: Integrity Custom Builderers LLC Z IJ T G G (- '6? ` i 1 WA STATE CONTRACTOR LICENSE#(REQUIRED):603526612 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CD 2 5 "I 7 CONTRACTOR ADDRESS: STREET 19103 114th PL SE crry Snohomish STATE wa ZIP 98290 CONTRACTOR PHONE:425-396-3927 CONTRACTOR EMAIL:ICBdaVenlarlOW@gmall.COnl PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425 396 3927 Dave Marlow CONTACT EMAIL:ICBdavemarlow@gmail.com BUILDING INFORMATION VALUATION OF WO' = SOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the pr,"grn q fair maiisat v�j{Ia of an- , atenals,an equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDIN�. J' -- PROPOSED USE OF BUILDING:ACCeSSOry Dwelling Unit HEAT SOURCE: ❑Gas ❑✓Electric ❑Other Forced Air BUILDING TYPE: ❑Townhouse ❑Duple ADU ❑Mufti-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): El New Construction ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Change of Use ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ElAccessory Structure ❑Fence over 7ft high ❑RackStorage EPool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: Accessory Dwelling Unit 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 lam 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 PERMIT# 4 (j 6/30/21 15 2 16 —1 O / 0 Owner/Authorized Agent Signature Date (Revised 2/8/2021)