1629 127TH PL SE 2025-01-14 - Laserfiche WebLink

BUIWING PERMIT APPLICATI ECEIVE CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements numlbA g c2p s&filed fo iew, WASHINGTON then drop off completed application plus all required submittal documents to 320l Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION: (P)425-257-8810 1(E) PermitServices@everettwa.gov Fret6tOPEVETRET1 (Blue or Black Ink Only Please) PROJECT SITE INFORMATION Permit Services PROJECT SITE ADDRESS: STREET 1629 127th PL SE PARCEL#: 00571600000500 CITY Everett STATE WA ZIP 98209 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:Chris Clarke OWNER MAILING ADDRESS: STREET 1629 127th PL SE CITY Everett STATE WA ZIP 98209 OWNER PHONE:425-299-2264 OWNER EMAIL: brandy.tucker@struxureoutdoor.com CONTRACTOR COMPANY NAME:StrUXUre of WA GX7(4.5 WA STATE CONTRACTOR LICENSE#(REQUIRED):STRUXOW812MB CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): OO438G898' CONTRACTOR ADDRESS: STREET 9116 E Sprague Ave CITY Spokane STATE WA ZIP 99206 CONTRACTOR PHONE:206-934-9091 CONTRACTOR EMAIL:brandy.tucker@struxureoutdoor.com PRIMARY CONTACT: ❑OWNER ✓❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-934-9091 Brandy Tucker CONTACT EMAIL:brandy.tucker@struxureoutdoor.com BUILDING INFORMATION VALUATION OF WORK: $20,000 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:SFR PROPOSED USE OF BUILDING:Shade for patio area HEAT SOURCE: ❑Gas ❑Electric ❑Other N/A BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair DTI. ❑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: Pergola Roof structure DESCRIPTION OF WORK: Adding a mechanical trellis roof structure to the existing deck and roof of house for shade. 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 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 9 �L e 4/18/23 PERMIT# � �C — O l Owner/Authqgzed Agent Signature Date (Revised 4/21/2022)