2324 OAKES AVE A 2024-03-05 - Laserfiche WebLink

• • EC[ OVE BUILDING PERMIT APPLICATION D EVERETT CITYp caO EVERETT PERMIT SERVICES VICES q ll (4 d SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal re uiremert d nu e o o le Ired foe: iew, WASHINGTON then drop off completed application plus all required submiitttal documents gto I(0 Cedar Streeth�o2ndFjgQrJ I Prop Box. CONTACT INFORMATION:(P)425.257.8810 E everette s everettwa. ov W r vt�l-( I (Blue or Bleak ink°nl}iPlease) PROJECT SITE INFORMATION Permit Services PROJECT SITE ADDRESS: STREET 2„3 29 OA ices AVE PARCEL#: (2o L/,3 6 /L/Ci 202 7 Ck Cnv f V CQE T 1 STATE WA ZIP 5920 I SUITE/UNIT#: N A FLOOR#: f 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: MICHAEL SWITzc' OWNER MAILING ADDRESS: STREET 2-32.L1 Q/ IES AVE CITY g VC P tom.T 4 STATE WA ZIP -/[�92..c 1 OWNER PHONE: qLc-- ( /5 ` U0g30 OWNER EMAIL: ,M SW/TZ GP CO TG-00 E CO I� CONTRACTOR COMPANY NAME:pR,ope. / y QU1/UEIZ, WA STATE CONTRACTOR LICENSE#(REQUIRED):POP,e. Y OtOIE/OITY OF EVERETT BUSINESS LICENSE#(REQUIRED):Aop ( /LJ Q CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: DI OWNER D CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: p CONTACT PHONE: /2 .. 6/f— 0 730 / AEL- Stary! .r�Gr'/� CONTACT EMAIL: 115 A//TZl:i y\@P) 71.001,co/ BUILDING INFORMATION VALUATION OF WORK:$ .0 0 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: k CS-/D N C E PROPOSED USE OF BUILDING: 1ES /Q E N C-G HEAT SOURCE: 121,Gas ❑Electric ❑Other BUILDING TYPE: li(1SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ❑T.l. ❑Change of Use ❑Modular ❑Portable ❑Re-roof 0:1Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: ve. u-I10e.,-r11 +t e-e Aok-ec_ � e.")C_IQs r rJ Fro'J+ • 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.lam 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 PERMIT# 4723.0 Lf D .23 Owner/Authorized Agent Signature /Date (Revised 2/8/2021)