5613 WEST DR 2024-04-12 - Laserfiche WebLink

E B .DING PERMIT APPLICA*N 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 5613 WEST DR PARCEL#: 00471700004201 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: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:GREGORY AND CARY BUEHLER OWNER MAILING ADDRESS: STREET 23280 SR 525 cm GREENBANK STATE WA ZIP 98253 OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME:OWner WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR 0 OTHER(Please Specify) ARCHITECT CONTACT NAME: CONTACT PHONE:425.377.8786 MARTIN-RE I M ERS CONTACT EMAIL:MREIMERS@CONCEPTARCHITECTURE.COM f' i BUILDING INFORMATION VALUATION OF WO : $34,000.00 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the p veiling fair market value f all labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF B LDING:SFR PROPOSED USE OF B LDING:S HEAT SOURCE: ❑Gas Electric ❑✓❑Other Forced air-Oil BUILDING TYPE: ❑✓SFR ❑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 ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK:A REMODEL INCLUDING TWO NEW DORMERS, FINISHING THE BASEMENT, AND ADDING A NEW DECK ON THE BACK, AND REBUILDING THE EXISTING DECK IN THE FRONT. 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 PERMIT ^ , Martin Reimers ,�� ,v,,o,s ,ar .ym._—�--�•—--° 2/8/2022 2� L /() .•�CfL , Owner/Authorized Agent Signature Date (Revised 2/8/2021) /2