3219 WAVE DR 2024-06-24 - Laserfiche WebLink

• • BUILDING PERMIT APPLICATION EVERETT SUBMITTAL INSTRUCTIONS CITY OF EVERETT PERMIT SERVICES .. :, . . tl,r;I•drop art r rJ'• CONTACT INFORMATION • (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS. I j 0- PARCEL#. 1 t L1!A )t ! i SUITEJUNIT#. FLOOR#. ADDITIONAL LOCATION INFORMATION it'app'I_,Ih'ri- TENANT?BUSINESS NAME(if non-residential). LEGAL DESCRIPTION for new ronstruttinn Short PI. CONTACT INFORMATION OWNER NAME: Tr,rrvner Lx Vey Y c v e_ OWNER MAILING ADDRESS: 1`1 v‘1 4 vc I r ' " t (Iry E v e Y- t i OWNER PHONE: Lt'-} - 1 tiU' - OWNER EMAIL: CONTRACTOR COMPANY NAME: t- - HT rite- gv'I I c(Ev S WA STATE CONTRACTOR LICENSE#tREOUIRED)• e PE RH g ti 1- J CITY OF EVERETT BUSINESS LICENSE#iREQUIREDI 3S CONTRACTOR ADDRESS. SMELT 501/40 Z(-NA Av& Suwie.. (4CC nry Sclititr STrill Ina ZIP C'(Ce.IC.4 CONTRACTOR PHONE: 2c:l.c 4 4 c CONTRACTOR EMAIL: Wa.Sh i I^r.)h r1 I nvL r c,e 5 c y ru I CCU-\ PRIMARY CONTACT: ❑OWNER ?CONTRACTOR LI OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: tCJ- - C Lxisl M. Eby CONTACT EMAIL: Cc pl G1tb Ail CcI1� BUILDING INFORMATION VALUATION OF WORK:S I .'u c !ASSOCIATED LAND USE PROJECT#(If,rip;: eY - -- •::tall lobo.materials,a d eqt:. .u .. • EXISTING USE OF BUILDING: I c��- l - t S t ctc vt t� PROPOSED USE OF BUILDING: -11svNt c) r . +cC(vl ti HEAT SOURCE: Gas -Electric ❑Other BUILDING TYPE: �SFR 1Townhouse !Duplex LADU L-)lNu10 Family-#Units 'or,merc ^,ucessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ZRepa.l T.I C:::rnge of Use Modular I_ Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) QAccessory Structure 'Fence over 7f1 high ERackStorage ❑Pool/Hot Tub (,Tank(above ground) nOther. DESCRIPTION OF WORK: rlyc l loc. (SIS G\CCcrekiri9 io tvley IQGr act oil/ALvllz k'rrl» I i r f ACRt;OWLEDGEI:MENT I rave rev.ewed MS application and confirm the refarmatlon contained herein is true and correct Work done pursuant to this permit must comp?r ro.: current federal state and local law The granting of a permit only authorizes approved work end no deviations therefrom Deviations must first be authonzed in wining!-om t-e 8urdmg Official before being authorized under any circumstance tam the owner,or 1 am authorized by the owner of the property to perform the:cork far which arr• - • • end I comply with the State Contractors Law f8 27 RCW end 296 200A WAC. • • iS LZ . t► O I 1 I I � OwnerlAulhotr ed A •tit Srgrrature L I