1917 127TH PL SE 2025-01-14 - Laserfiche WebLink

ims APP L ICATIJ 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 1917 127th PI SE PARCEL#: 00902200000100 cr' Everett STATE WA ZIP 98208 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:Jose Gamero OWNER MAILING ADDRESS: STREET 1917 127th PI SE crry Everett STATE WA ZIP 98208 OWNER PHONE:(425)238-8070 OWNER EMAIL: jgaco1@msn.com CONTRACTOR COMPANY NAME:Matvey Foundation Repair WA STATE CONTRACTOR LICENSE#(REQUIRED):Matvefr837k5 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 056264 CONTRACTOR ADDRESS: STREET 18915 16th Ave S CITY Seatac STATE WA zip 98188 CONTRACTOR PHONE:206-660-7971 CONTRACTOR EMAIL:permits@gomatvey.com PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-660-7971 Ayden Wagner CONTACT EMAIL:permits@gomatvey.com BUILDING INFORMATION VALUATION OF WORK:$22,825 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:No change 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.l. ❑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:Foundation Repair DESCRIPTION OF WORK: Installing 7 push piers and 5 wall anchors to stabilize the existing foundation. No additions, no change in footprint. 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 (to! oii PERMIT# 3 27, ! _ 0 3 6, Owner/Au h rized Agent Signature Date (Revised 4/21/2022) t/U,