215 110TH PL SE 2024-11-08 - Laserfiche WebLink

Bl" .DING PERMIT APPLICAT' `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)PermitServices@everettwa.gov I(W)everettwa.govlpermits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 215 both Pi.&W PARCEL#: 00498500000200 CITY Everett STATE WA ZIP 98208-7010 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: I-INDSTRAND ADD Bt-K 000 D-00-LOT2 Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:MANUEL&SUSAN ECO 5214 151 ST ST SW OWNER MAILING ADDRESS: STREET 5214 151st ST SW CITY EDMONDS STATE WA ZIP 98026 OWNER PHONE: OWNER EMAIL: manny.eco@gmail.com CONTRACTOR COMPANY NAME:MANUEL&SUSAN ECO WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET 5214 151 st ST SW cm EDMONDS STATE WA ZIP 98026 CONTRACTOR PHONE: CONTRACTOR EMAIL:manny.eco@gmail.com PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) ARCHITECT CONTACT NAME: CONTACT PHONE:360 629 5375 David Pelletier, AIA CONTACT EMAIL:dpelletier@pelletiershaar.com BUILDING INFORMATION VALUATION OF WORK:$400,000.00 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 Residence PROPOSED USE OF BUILDING:Single Family Residence HEAT SOURCE: ❑Gas ❑✓Electric ❑✓Other heat pump 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:Additions & Alterations t0 existing Single family residence 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 1 am authorized by the owner of this property to perform the work for which application is made, and l comply with the State Cnntractnm 1 aw 1 R 27 RCW and 296.200A WAC. City of Everett Official Use Only L�f 3/21/2023 PERMIT# 3 Z .3o3 r Owner/Authorized Agent Signature Date (Revised 412112022)