4429 SEAHURST AVE 2024-08-05 - Laserfiche WebLink

BL_,DING PERMIT APPLICATIk..�I 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 4429 SEAHURST AVE PARCEL#: 00505800002100 crry EVERETT STATE WA ZIP 98023 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:Song Ho AN OWNER MAILING ADDRESS: STREET 4429 SEAHURST AVE CITY EVERETT,0 STATE WA ZIP 98023 , OWNER PHONE:� - -= � : � �4� �cL S'^k/ �371/ OWNER EMAIL: CONTRACTOR COMPANY NAME:Shims Construction WA STATE CONTRACTOR LICENSE#(REQUIIRREED)):CC SHIMSC*862KM CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):ELC.fttr. 2 c CONTRACTOR ADDRESS: STREET 3&V$9 K/1 11,6j e 0 �� 2-- (� / CITY / C(&IL STATE `t�/��yl ZIP / 7 CONTRACTOR PHONE: -.—C)G�‘ z ) 9_(L CONTRACTOR EMAIL: 7 / OA1J/JA-j y0 r PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ✓❑OTHER(Please Specify) Applicant CONTACT NAME: CONTACT PHONE:5094917299 James Ma CONTACT EMAIL:jamesmark2001@gmail.com BUILDING INFORMATION VALUATION OF WORK: $ �, /��} ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevailing fair mar et value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING:SFR PROPOSED USE OF BUILDING:SFR HEAT SOURCE: ❑Gas ❑Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial EAccessory 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: Proposed 597 sq-ft upper floor deck addition to existing SFR. 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 Contracto 4aw 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT �-� 220 ,OCAS, (OwilerWuthorize Agent Signature 7 Date (Revised 4/21/2022)