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1049 CROWN DR 2024-10-24
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1049 CROWN DR 2024-10-24
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Last modified
10/24/2024 1:45:38 PM
Creation date
7/24/2024 10:36:00 AM
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Address Document
Street Name
CROWN DR
Street Number
1049
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• • <br /> BUILDING PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETTSUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, <br /> WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. <br /> CONTACT INFORMATION: (P)425-257-8810 I(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 1049 Crown Drive PARCEL#: 00464700002500 <br /> cl- Everett STATE WA ZIP 98203 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(if non-residential):HARBOR VIEW ADD TO EVERETT BLK 000 D-00 - LOT 25 <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Janean Desmarais <br /> OWNER MAILING ADDRESS: STREET See project <br /> CITY STATE ZIP <br /> OWNER PHONE:425-760-5077 OWNER EMAIL: alesha@rrspecialist.net <br /> CONTRACTOR COMPANY NAME:R&R Foundation Specialist <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):RRFOUFS829DA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 5 gyz../._< <br /> CONTRACTOR ADDRESS: STREET 1611 E Marine View Dr <br /> cm( Everett STATE WA ZIP 98203 <br /> CONTRACTOR PHONE:425-760-5077x107 CONTRACTOR EMAIL:alesha@rrspecialist.net <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425 760 5077X107 <br /> AI es h a Sti ckl es CONTACT EMAIL:alesha@rrspecailist.net <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $27,600 ASSOCIATED LAND USE PROJECT#(if applicable): <br /> (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) <br /> EXISTING USE OF BUILDING:No changes <br /> PROPOSED USE OF BUILDING: <br /> HEAT SOURCE: ❑Gas ❑Electric ❑Other <br /> BUILDING TYPE: ❑✓SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑✓Repair ❑T.I. ❑Change of Use <br /> ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure <br /> [—Thence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ElOther: <br /> DESCRIPTION OF WORK: p. (� (�v/j <br /> Installation of 12 Iles to stabilize a SFR after settlingL>= l' <br /> SEP 2 4 2023 <br /> CITY OF EVERETT <br /> Permit Services <br /> 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 <br /> 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 <br /> 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, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> A40-141141 PERMIT#� 9/21/23 3 0 ( <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) +�� <br />
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