11030 7TH AVE SE B 2024-02-20 - Laserfiche WebLink

E BIDING PERMIT APPLICATIR CITY OF EVERETT PERMIT SERVICES EVERETTSUBMITTAL 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 11030 7th Ave SE PARCEL#: CITY Everett STATE WA ZIP 98208 SUITE/UNIT#: E BLDG FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable):west end of building TENANT/BUSINESS NAME(if non-residential):Woodbrook Apts LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Woodbrook Apts OWNER MAILING ADDRESS: STREET 525 112th ST SE CITY Everett STATE WA zip 98208 OWNER PHONE:(425) 348-9600 OWNER EMAIL: wb@pelicanabc.com CONTRACTOR COMPANY NAME:Dreamscape NW LLC WA STATE CONTRACTOR LICENSE#(REQUIRED):DREAMNL813L6 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 61116 CONTRACTOR ADDRESS: sTREET4029 Crystal Ridge Dr SE CITY Puyallup STATE WA zip 98372 CONTRACTOR PHONE:(425) 583-2526 CONTRACTOR EMAIL:SWkjk©yahOO.COm PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ✓❑OTHER(Please Specify) Construction Lead CONTACT NAME: CONTACT PHONE:(425) 583-2526 Mark Ka n o uff CONTACT EMAIL:markkanouff@yahoo.com BUILDING INFORMATION VALUATION OF WORK: $3000.00 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:Apartment PROPOSED USE OF BUILDING:Apartment HEAT SOURCE: ❑Gas ❑✓Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑✓Multi-Family-#Units:9 ❑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:Removal of siding to inspect for leaks, reistall siding, and inspection of building envelope CL—'L.e) - -1 /3 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 i P IT# '5/6/7e f \r--. 2.2-0S OkA 9— .-( ,ner/Auth. rzed Agent' 'gnature Date (Revised 2/8/2021)