3430 NORTON AVE 2024-02-22 - Laserfiche WebLink

E • • BUILDING PERMIT APPLICATION 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)425.257.88101(E)everetteps@everettwa.gov((W)everettwa.govlpermits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3 ti 3 b Net1 /w< PARCEL#: cnv Ev'erEi Q STATE W'T ZIP ei 8 E6 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: F.1aq S.'ldo Rtke,q OWNER MAILING ADDRESS: STREET 314 3 C, /tis r tl.r /44 CITY kit&41 STATE Wit 2IP g8ZO I OWNER PHONE: .2.5 3 -3 211 - s2 qg 'OWNER EMAIL: - ire 30a Ic roar[.e CONTRACTOR COMPANY NAME: Si'ronq Li,' Seis to:c WA STATE CONTRACTOR LICENSE#(REQU/(RED): S T2b NS i gl 3k H CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): (yogi CONTRACTOR ADDRESS: STREET 1"l l8 z n 4 a S'k/{ t i/ P CRY Sec (�(y le STATE W4 ZIP a4 CONTRACTOR PHONE: Ze6 - - 1 7 - S`,40- (CONTRACTOR EMAIL: Ioi s,e. 4V s 4. ►4;..J sea s.,r4,..ern" PRIMARY CONTACT: ©OWNER IONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: `(— CONTACT PHONE: 2DC-2 y). -.S2)95-" / CONTACT EMAIL: _1atN,es.ai $r „,.l sea hw,. cc,„„ BUILDING INFORMATION VALUATION OF WORK: $ bs 0©, £76 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevailing fall market value,of all labor,materials,and equipment needed to complete the work,whether actually pald'or not) EXISTING USE OF BUILDING: PROPOSED USE OF BUILDING: HEAT SOURCE: ❑Gas 'Electric DOther BUILDING TYPE: DSFR ❑Townhouse ❑Duplex DADU ❑Multi-Family-,�##nits: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑ t�New Construction DAddition Remodel ❑Repair ❑T.I. ❑Change of Use ❑Modular ❑Portable DRe-roof ❑Exterior Alteration :frank(above ground) ❑Accessory Structure / /� OFence over 7ft high DRackStorage ❑PoolIHot Tub Drank(above ground) lather: Se13iox edfr i J1 DESCRIPTION OF WORK: I A / l ks rev j eC t its a fe'f r owe- elfin x', 1 At Jura fe<74 ' Ilse/n.4 f 4 ,/ rs ,Mo �.rr:f r1 74, dv/51/41 / sil1k h. / ' .►.,b 14"i dl1c179. sleet • ii fa cf?74 u-ells[ t- �t//all,�1• Tram.', c 1r4s 4s I A Ale/ lr, Jo01{, A 1 r�if ,.-,l de sad a >'a sf.4 4Iase•.e at / 4 ,tee enfinew. s el. `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 underany circumstance.i am the owner,or t am authorized by the owner of this property to perform the work for which application Is made, and l comply with the State Contractors Law 18.27 RCW end 288.200A WAC. City of Everett Official Use Only PERMIT#�� O 2 >t J/Ja/22 Owned mixed 3( Date {Revised 2/8/2b21) 1/Z