12412 23RD AVE SE 2026-01-06 - Laserfiche WebLink

DlueroMPRIellIANorrevie �C�C�MC & .LDING PERMIT APPLICAT►�N CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and WASHINOWN then drop off completed application plus all required submittal documents to 3200 Cedar free r�d logr•:l �IkQJ')- X. CONTACT INFORMATION: (P)425-257-8810 (E)PermitServices@everettwa.gov I(Wj a cY lEw . e(� effm sCCKKtC I (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 12412 23rd Ave SE PARCEL#: 00885000000100 c,Ty Everett STATE WA ZP 98201 SUITE/UNIT#: FLOOR M 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:Lee Tze Seang (Andy Lee) OWNER MAILING ADDRESS: STREET 12412 23rd Ave SE c,Ty Everett STATE WA zP 98201 OWNER PHONE:206-818-5563 OWNER EMAIL: andy177@hotmaii.com CONTRACTOR COMPANY NAME:KRB HardscapeS (dba/KRB Concepts) j,,q WA STATE CONTRACTOR LICENSE#(REQUIRED):KRBHAHL795P7 ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED):CONTRACTOR ADDRESS:ADDRESS: STREET2432 Cedar Street c,Ty Everett STATE WA zir 98201 CONTRACTOR PHONE:206-730-5641 1CONTRACTOR EMAIL:jason@krbconcepts.com PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-730-5641 Jason Miller CONTACTEMAIL:jason@krbconcepts.com BUILDING INFORMATION VALUATION OF WORK:$125,000 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:Single Family Home PROPOSED USE OF BUILDING:Single Family home HEAT SOURCE: ©Gas []Electric ❑Other BUILDING TYPE: ©SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial []Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑✓Remodel ©Repair ❑T.I. ❑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: Repair damage after a flood from the upstairs bathroom. Main floor reinstall kitchen, cabinets. Rehang doors, add flooring, interior trim and paint Replace Drywall in damaged area on main floor walls and ceiling Replace Drywall on 2nd story walls and floor Reframe wet wall in master bathroom between tub and shower, cut down full height wall to 42" and reduce height on pony wall to 30" ACKNOWLEDGEMENT.'1 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 u many 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 1 comply with the State tracto aw 18.27 RCW and 296.200A WAG City of Everett Official Use Only PERMIT#�3Q- Own Authoriz Agent Signature Date (Revised 412112022)