7910 E GLEN DR 2024-12-30 - Laserfiche WebLink

BuILDING PERMIT APPLICATivN EVERETT CITY OF EVERETT PERMIT SERVICES 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 7910 E Glen Drive PARCEL#: CITY 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: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Ian Hufford OWNER MAILING ADDRESS: STREET 7910 E Glen Drive c,,,, Everett zIp STATE WA 98203 OWNER PHONE:989-488-7768 OWNER EMAIL: ithufford@gmail.com CONTRACTOR COMPANY NAME: �� IL WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET cm STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING INFORMATION VALUATION OF WORK: $2952 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevailing fair market value of all labor,matenals,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: OSFR ❑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:Adding partition wall and closet to enclose a bedroom. Current open living room dimensions of 24' 8" x 13' 8" to be split into a living room and bedroom. u u MAR 2 2 2024 ACKNOWLEDGEMENT:i have reviewed this application and confirm the information contained herein is true and correct. Work donewant�tQ t i�Qe f�s� mply with current federal,state,and local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations mtlist�i�tt f�utfidr� `whi j 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/comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 3/22/24 PERMIT# Owner/Authorized Agent Signature Date (Revised 4/21/2022) J lJ