216 73RD ST SW 2024-11-07 - Laserfiche WebLink

BU!DING PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, WA$HINGTON 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 216 73rd St SW PARCEL#: 00453200001100 cn- Everett STATE WA zip 98203 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:Olivia James OWNER MAILING ADDRESS: STREET 216 73rd St SW cm/ Everett STATE WA zip 98203 OWNER PHONE:425-760-5077x107 OWNER EMAIL: alesha@rrspecialist.net CONTRACTOR COMPANY NAME:R&R Foundation Specialist WA STATE CONTRACTOR LICENSE#(REQUIRED):RRFOUFS829DA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET 1611 E Marine View Dr cm, Everett STATE WA zip 98203 CONTRACTOR PHONE:425-760-5077 CONTRACTOR EMAIL:alesha@rrspecialist.net PRIMARY CONTACT: ❑OWNER n CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-760-5077x107 Alesha Stickles CONTACT EMAIL: BUILDING INFORMATION VALUATION OF WORK: $15,150 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: PROPOSED USE OF BUILDING: HEAT SOURCE: ❑Gas ❑Electric ❑Other BUILDING TYPE: ❑✓SFR ❑Townhouse ❑Duplex EADU [.Multi-Family-#Units: ]Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel iRepair ❑T.I. C.Change of Use ❑Modular ❑Portable ❑Re-roof LExterior Alteration I ]Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high IRackStorage 1Pool/Hot Tub P.Tank (above ground) ❑Other: DESCRIPTION OF WORK: Installation of 7 helical to stabilize the foundation of existing foundation RECEI1VE JUL 21 2023 CITY OF♦♦ ccFVFRE��TT ACKNOWLEDGEMENT I have reviewed this application and confirm the information contained herein is true and correct. Work dG At lc ai*Phfist 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 Contractors Law 18.27 RCW and 296.200A WAC. � �,�" PERMIT# City of Everett Official Use/ Only 7 1 "' �iJ 7-19-21 �23o� V_ H- 5 Owner/Authorized Agent Signature Date (Revised 4/21/2022)