7913 TIMBER CIR 2024-11-04 - Laserfiche WebLink

iii In B...LDING PERMIT APPLICATi...N 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)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1 R(D .-1)yiThYjCyr C,)(C\e, PARCEL_#:CSC-D 31CTC 002‘ co cir' l e, STATE W R ZIP CtRa,t3 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): 1 t f C'- �5k, C I ( ` - LEGAL DESCRIPTION for new construction: Short Plat/subdivision• \a,t,\ OLot No.Z\;1�\i\ (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: \-\ \ OWNER MAILING ADDRESS: STREET l\b 1 cr 'o ( C,vrG),e- CnJ e� STATE V vt'S ZIP G\ jr) OWNER PHONE:- 10-kk-ko$\--Vn OWNER EMAIL: \M9-- 'O.!, \O VIu) . C,GW1 CONTRACTOR COMPANY NAME: \)� -\e 117,v\ \0� .` ,r�- Cf3( -A A 1 WA STATE CONTRACTOR LICENSE#(REQUIRED):\ceA(L°, ITY OF EVERETT BUSINESS LICENSE#(REQUIRED): .o.t ielp CONTRACTOR ADDRESS: STREET 1CO,\2) m\Olei CYCV/ CITY `o 'c STATE t\ ZIP R��90 CONTRACTOR PHONE: Vk CONTRACTOR EMAIL: `'/ PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR OTHER(Please Specify)0\10e `( N„\\( k1 LSO Z) CONTACT NAME: \ nG ; CONTACT PHONE: V6i '\- - V TIC CONTACT EMAIL: $\wGl�`, �.C(3Y� J J _\ —I BUILDING INFORMATION VALUATION OF WORK:$ 1`:5 1 U). V ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevailing fair market value of all hobo(,,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING: Q e avv...Q. PROPOSED USE OF BUILDING: )ft ,sj-,&Q (v, \IAU -54 HEAT SOURCE: ❑Gas 7gElectric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ylADU ElMulti-Family-#Units. ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction pAddition ❑Remodel ❑Repair CIT.!. ❑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) Daher. DESCRIPTION OF WORK: VUA\&\l'\C, a Cc\i\e ck, No..12,) P0'0, --h 4,6-$\(' '(R-`-0.\A-Nei\u- . 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 compl wi h the S:to Contractors Law 18 27 RCW and 296 200A WAC City of Everett Official Use Only / 14 LJ Z PERMIT# r & o �Dd Owner/A o ,• Agent Signature V 0 Date (Revised 2/8/2021) I / /j