2030 SUMMIT AVE 2024-08-05 - Laserfiche WebLink

75) E E _ DEC 21 2023 lamr BUILDING PERMIT APPLICATION CITY OF EVERETT CITY OF EVERETT PERMIT SERVICES prep } c EVE R E T T SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number orcopte9�eq�otat[Qt$view, %ASNra OTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION:(P)425-257-8810 I(E)1oimltServicos@overettwa.gov((W)overettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET c.2 O 3) S{tfss.e''//7- —ve• PARCEL it: 00 S".6 3 1) ,'/OO CITY L t/b'/2' STATE ✓-'// ZIP / SUITE/UNIT it: FLOOR it: ADDITIONAL LOCATION INFORMATION(if applicable): TENANT/BUSINESS NAME(if non-residential): (LEGAL DESCRIPTION tar new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal descrIptlon) CONTACT INFORMATION OWNER NAME: 2C1 ULL i,wS OWNER MAILING ADDRESS: smEET ;,'--L0 30 /i- 79 4 ' CITY 17(/c`12-E!i STATE ZIP :lb'ci-LO/ OWNER PHONE: OWNER EMAIL: -,1 CONTRACTOR COMPANY NAME: t_./Iv 1 t3 / i/ ' % "/-1 7-i T.-; L L C l WA STATE CONTRACTOR LICENSE 1l(REQUIRED): L A✓d g(Zl`L-7b1QA'�CITY OF EVEREU BUSINESS LICENSE 1i(REQUIRED): (j�J,) CONTRACTOR ADDRESS: STREET u/G / 5Tre t E T crrY 4 v'/f0.4t/ S/-/ STATE - . . ZIP !g of i tt CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑OWNER ❑"CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: '/ J _ , , _ •, CONTACT EMAIL: J t ;i ram' G L re.,:.,:°;, ,. BUILDING INFORMATION VALUATION OF WORK:$ /00, PO C u o ASSOCIATED LAND USE PROJECT it(if applicable): (valuation shall Include the prevailing fair mallot value of all labor,materials,and equipment needed to complete Ilia work.whether actually paid or not. EXISTING USE OF BUILDING: /?'?-6Q, PROPOSED USE OF BUILDING: S !� HEAT SOURCE: ❑Gas ['Electric ❑Other ggg BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex DADU ❑Multi Family-If Units: ❑Commercial ['Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition Remodel DRepair ❑T.I. DChange of Use ['Modular ❑Portable ❑Re-roof ['Exterior Alteration ['Tank(above ground) DAccessory Structure ❑Fence over 7ft high DRackStorage DPool/Hot Tub Drank(above ground) ['Other: DESCRIPTION� OF WORK: /'7C7L-ii TGt/ iV.'GL s /zE/2 fI 7-r41c:y4—/r f�/�' �W :/ J S • 70/7JO,,i/)L C.✓u/.'K /ic Sr 4_4_ ri,e iG, ALo f/�rtti 5, $r� 77C rcLG47/'iG./fL �� r v7 (rt. /j'i.u(' ''` 4'GG`CTKrL/�L r etr,-" s LVr,,y�/�z/ L ✓. 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.Tho granting of permit only authorizes approved work and no deviations therefrom.Deviations must first bo authorized in writing from the Building Official before being authorized under any circumstance.1 am the owner,or)am authorized by tho owner of this property to perform the work for which application is made, end I comply with the Slate Contractors Law-18 27 ROW end 296.200A WAC. ��f -•• , City of Everett Official Use Only • PERMIT it OwnoriAuthorizod Agent Signature Date (Revised 4/21/2022)