1318 75TH ST SE 2024-02-16 - Laserfiche WebLink

BU•ING PERMIT APPLICATIel 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 1318 75th St SE PARCEL#: 00394000002702 CITY Everett STATE WA ZIP 98203 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME (if non-residential): ) LEGAL DESCRIPTION for new construction: Short Plat/subdivision: 041-acKed it 5 l to P loot tVo: (attach copy of long legal description) CONTACT INFORMATION 1 OWNER NAME:Blue Moon Realty LLC OWNER MAILING ADDRESS: STREET 4905 33rd St Ct NE cm, Tacoma STATE V V,nI A ZIP 98422 OWNER PHONE:2533976393 OWNER EMAIL: BIueMoonRealty.WA@gmail.com CONTRACTOR COMPANY NAME:N/A-TBD WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: fl OWNER ❑CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:2533976393 Soniya Moon CONTACT EMAIL:Soheemoon.96@gmail.com BUILDING INFORMATION VALUATION OF WORK: $300,000 Lk.Sco 239 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevailing fair market value of all lab),materials,and equipment needed to complete the work,whether actually paid or riot.) EXISTING USE OF BUILDING:Residential SFR// PROPOSED USE OF BUILDING:Residential SFR HEAT SOURCE: ❑✓Gas EElectric ❑Other BUILDING TYPE: ❑✓SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑✓iNew 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:New construction of SFR after#D2201-001 to demo existing SFR structure. This proposal will be in replacement of the existing building permit #B2108-059. ACKNOWLEDGEMENT:1 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 y � =L i 1/19/2022 Z/ l Own1Authorized Agent Signature Date (Revised 2/8/2021)