3406 16TH ST 2024-11-07 - Laserfiche WebLink

—, an LDING PERMIT APPLICAN 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)PerrnitServices@everettwa.gov I (W)everettwa.gov/permits I(B►ue or Black Ink Only Please) PROJECT SITE INFORMATION I PROJECT SITE ADDRESS: STREET 3406 16th ST PARCEL#: cm, Everett SIAlE Wa Zip 98201 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 NAIME;RICk Norman OWNER MAILING ADDRESS: STREET 3403 16th ST cry Everett STATE WA ZIP 98201 OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME:Bacari Homes WA STATE CONTRACTOR LICENSE#(REQUIRED):BACARH 1988LF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 40760 CONTRACTOR ADDRESS: STREET317 103rd AVE NE cr-y Lake Stevens STATE WA zw 98258 CONTRACTOR PHONE:4252990800 CONTRACTOR EMAIL: PRIMARY CONTACT: 0 OWNER Z CONTRACTOR ❑OTHER(Please Specify) 'CONTACT NAME: CONTACT PHONE:425 299 0800 Jeff Ko o n CONTACT EMAILabe,carihnmes@msn.cam 4 BUILDING INFORMATION VALUATION OF WORK: $3000 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:Va1 ant ( , PROPOSED USE OF BUILDING I . "`!� HEAT SOURCE: ❑Gas ❑✓Electric ❑Other BUILDING TYPE: ✓❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Mutti-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑✓Remodel ❑✓Repair ETA. ❑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:Frame in a 48 x 42 window in non load bearing existing wall. Re frame existing wall to accomidate a 3 0 interior door Sheetrock repairs from electrical and mechanical work [3) i: © uiE ) JAN 21 2024 J CITY OF EVERETT ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done ppivpHgiiRii�r�mply with current federal,state,and local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must M t a t �e11 r r g from the Building Official be ed 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 the State Coniracto Law 18.27 RCW and 296.200A WAC. ( ' City of Everett Official Use Only / PERMIT# ,—, t /t-1- 12z-i_ tS;LfO ( — () :q Owner/Authorized Signature Dale (Revised 4/21/2022)