6919 CADY RD 2024-06-21 - Laserfiche WebLink

BUILLNG PERMIT APPLICATIOF 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)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 6919 CADY RD PARCEL#: 00393300004600 CITY EVERETT STATE WA ZIP 98203 SUITE/UNIT#: 1 FLOOR#: 1 ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):MEDVEDEV MICHAEL LEGAL DESCRIPTION for new construction: Short Plat/subdivision: BEVERLY HILLS DIV5BLK000S-w-LOT 46 Lot No.:46 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:MEDVEDEV MICHAEL OWNER MAILING ADDRESS: STREET 7683 SE 27TH St. #492 cry Mercer Island STATE WA zlP 98040 OWNER PHONE:(415)702-0449 OWNER EMAIL: CONTRACTOR COMPANY NAME:LVD Construction LLC WA STATE CONTRACTOR LICENSE#(REQUIRED):LVDCOCL847BH CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): G j o CONTRACTOR ADDRESS: sTREET8316 Rim Dr CITY Everett STATE WA ZIP 98208 CONTRACTOR PHONE:4258799780 CONTRACTOR EMAIL:IVdllC2015t©gmail.cOm PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ✓❑OTHER(Please Specify) ARCHITECTURAL DESIGNER CONTACT NAME: CONTACT PHONE:(425)367-7773 Iri n a Zu bch i k CONTACT EMAIL:interiorardour@gmail.com BUILDING INFORMATION VALUATION OF WORK: $ 26,000.00 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:Residential PROPOSED USE OF BUILDING:Residential HEAT SOURCE: EGas ❑Electric ❑Other BUILDING TYPE: ✓❑SFR ❑Townhouse ❑Duplex ❑ADU EMulti-Family-#Units: ECommercial ❑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:Conversion laundry in bathroom, relocation electrical panel, upgrading the deck material, kitchen. D -i �;-=�L ;, >�=_ °=' im DEC 0 7 2023 J (:ITY (��F} cT�F�VFR.FTT ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct.Work done pursuant'?�ir ilit 1� ari)PASh 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 Cl2.UZl��LC6c24 11/26/2023 PERMIT# Owner/Authorized Agent Signature Date (Revised 4/21/2022)