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

` BI "LDING PERMIT APPLICAT- -)N CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: See applicable submittal checklistfor submittal requirements and number of copies required for review, WASH lNGTON then.drop off completed application plus all required subrpittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION: (P)425-257-8810 1(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#: cnv Everett STATE WA t,,p93 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTIONfornewconstruction: Short PIaVsubdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Ian HUffOrd OWNER MAILING ADDRESS: STREET 7910 E Glen Drive cm Everett srarE WA �p 98203 OWNER PHONE:989-488-7768 OWNER EMAIL: ItllUffOrCl @gmail.com CONTRACTOR COMPANY NAME: (� WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET My STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ID 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,materials,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 IZElectric []Other BUILDING TYPE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Mufti-Family-#Units:________ ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition RRemodel ❑Repair ❑T.I. ❑Change of Use ❑Modular ❑Portable []Re-roof El Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hat Tub ❑Tank(above ground) ❑Other:------ -------—---------------- ---- ESCRIPTION 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 rFan� 6h.lAR 1 6 2024 CITY OF EVERETT ACKNOWLEDGEMENT.I have reviewed this application and confirm the information contained herein is true and correct Work done pursuantto 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. -T- �,/74 4�__ Cityof Everett Official Use Only PERMIT# Owner/Authorized Agent Signature ate � (Revised 4/2912022) `l r e2VIS- .Q Pis -