1718 W MARINE VIEW DR 2024-10-25

• . MINN 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, WAS W NGTON 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)everettepsOeverettwa.gov I(W)everettwa.govlpermlts (Blue or Black ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: srREEr f'ZL^ U I Isi4 PARCEL#: ZgO5l8Z193041904%10 SUITEIUNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (If applicable): TENANT/BUSINESS NAME(if non-residential): et,J IT \1K-c-Ver GlI. LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: CA) C7012-1-- (j OWNER MAILING ADDRESS: STREET 032 1,f1 AVA/MASV t ele4 D'V Vy.L1't(' I 1 12 GI lv STATE LAIR ill' 10.747A OWNER PHONE:-L , -3 fo - awe,I OWNER EMAIL:J �T a va2...,ror err: _0LM CONTRACTOR COMPANY NAME: II0.4 (A Jb Lt WA STATE CONTRACTOR LICENSE#(REQUIRED;:hI6.000AgitZ$4 d CITY OF EVERETT BUSINESS LICENSE#(REQUI ED):5S2kok_ CONTRACTOR ADDRESS: STREET (5j{-1 II se 9 t �`� / 7W�1'Jlfr cl V�4,7 I cli3Z�(v CONTRACTOR PHONE: 3(71:1 -(do - b 1QI CONTRACTOR EMAIL: T-C;QIZ.y- e taWdZip• LAMA PRIMARY CONTACT: ❑OWNER eKONTRACTOR Ll OTHER(Please Specify) CONTACT NAME: �` CONTACT PHONE: . (to:::) - (p(p£j - O1q I, N �Ll�•� R1 CONTACT EMAIL- Q N1 ��Q. BUILDING INFORMATION VALUATION OF WORK: p b tb ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevt ling fair market valu of all lab's or,materi�5.and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING: L'tr' "4 t( - G.1\ 17 1(-IIIE PROPOSED USE OF BUILDING: HEAT SOURCE: irlGas ❑Electric"- Other lv'w7 BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units:_ Gommercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ,.I. ❑Change of Use El Modular ['Portable ❑Re-roof ❑Exterior Alteration Drank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑PooliHot Tub ❑Tank(above ground) ❑Other._ DESCRIPTION OF WORK: C3r2--- 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 won(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!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 4/ /7r711 PEt2(4CR 4.- Ow er1T uthorize Agent Signature Date (Revised 2/8/2021)