2111 MONROE AVE 2024-04-30 - Laserfiche WebLink

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)425-257-8810 1 (E)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 5. 2111 Monroe Ave PARCEL#: CITY Everett STATE Wa Z,p 98203 SUITE/UNIT M FLOOR M 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:D Laila Harris OWNER MAILING ADDRESS: STREET 2111 Monroe ave CITY Everett STATE Wa ZIP 98203 OWNER PHONE:425-350-6879 OWNER EMAIL: laliah@llve.com CONTRACTOR COMPANY NAME:Davls Construction Inc WA STATE CONTRACTOR LICENSE#(REQUIRED):DAVISC1011 DK CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STIEET18 W Marilyn Ave CITY Everett STATE WA ZIP 98204 CONTRACTOR PHONE:425-501-9556 1CONTRACTOR EMAIL:davisconstructlonlnc@hotmall.com PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425--5501-9556 Jeff Davis CONTACT EMAIL:davisconstructlonlnc@hotmall.com BUILDING INFORMATION VALUATION OF WORK: $2 3,5500 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:Res PROPOSED USE OF BUILDING: HEAT SOURCE: [-]Gas ❑Electric ❑Other 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.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:Drywall permit only Replace shower and toilet and sink, new tile, drywall in master bathroom 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 1 am authorized by the owner of this property to perform the work for which application is made, and I c pl with the tate Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# Ow A h rized Agent Signature Date (Revised 4/21/2022)