4934 VESPER DR 2024-10-25 - Laserfiche WebLink

• • in BUILDING PERMIT APPLICATION 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)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 4934 Vesper rd PARCEL#: 00611100003900 cm, 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: westridge I Lot No.: 39 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Peggy Jacques OWNER MAILING ADDRESS: STREET 4934 Vesper Drive CITY everett STATE wa ZIP 98203 OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME:NWQRD WA STATE CONTRACTOR LICENSE#(REQUIRED):NWQUAQR898JL CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): :D 5 Z 19 CONTRACTOR ADDRESS: STREET 15419 SR 9 CITY SNOHOMISH STATE WA ZIP 98296 CONTRACTOR PHONE:360-668-0191 CONTRACTOR EMAIL:TERRY@NWQRD.COM PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME:TERRY WI LLEY CONTACT PHONE:360-668-0191 CONTACT EMAIL:TERRY@NWQRD.COM BUILDING INFORMATION VALUATION OF WORK:$18K 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:SFR PROPOSED USE OF BUILDING:SAME 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: EXISTING DECK IS IN DISREPAIR, PROPOSED NEW DECK p ECE OWE r) ii\IAPR 2 4 2024 CITY OF EVERETT Per wit lit Sei vices 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,ar,0 local law.The anting of a permit or�ly authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Building Official bet bein authorized u der any circumstande.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, g and I comply with/the Stat ontractors L w 18.27 RCW and 2�96.200A WAC. City of Everett Official Use Only f :)1/2 4/1 6/24 PERMIT# 62404 o `g) wnertA zed Agent Signature �/ Date (Revised 4/21/2022)