2516 HILLSIDE LN 2025-10-24 - Laserfiche WebLink

BUiCUING PERMIT APPLICATIG--t: EVERETT WASHINGTON CITY OF EVERETT PERMIT SERVICES SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, 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 1 (E) PermitServices@everettwa.gov I (W) everettwa.gov/permits (Blue Or Black Ink OnlyPlease),_`* ._ AR'O:JECT,S�TE'I�ORMAT�O;Iz.0, PROJECT SITE ADDRESS: STREET 2516 Hillside Ln PARCEL #: 00567900200102 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 Plattsubdivision: SEAVIEw HEIGHTS BLK 002 D-02 Lot No.: 1 (attach copy of long legal description) 'r. r . . � . .. .. �.._ .. : 0, ould ,�NFGRMI4T10�1 OWNER NAME: John Bankston OWNER MAILING ADDRESS: STREET 2516 Hillside Ln, CITY Everett STATE WA ZIP 98203 OWNER PHONE:206-321-9916 1OWNER EMAIL: Jkeithb@hotmail.Com CONTRACTOR COMPANY NAME: Matvey Foundation Repair WA STATE CONTRACTOR LICENSE #(REQUIRED): MATVEFR837K5 ICITY OF EVERETT BUSINESS LICENSE #(REQUIRED): '562644 CONTRACTOR ADDRESS: STREET18915 16th Ave S cIn Seatac STATE WA z,p 98203 CONTRACTOR PHONE:206-698-3977 1CONTRACTOR EMAIL: permits@gomatvey.com PRIMARY CONTACT: []OWNER ❑✓ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Olga Ticot CONTACT PHONE:206-698-3977 CONTACT EMAIL: permits@gomatvey.com .�'.. ,3 :p t BUILDING,INFORM/liT10N VALUATION OF WORK: $73220.00 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:SFR PROPOSED USE OF BUILDING:SFR 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.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: Underpinning existing foundation for additional stabilization. No additions, no changes in footprint. ��' L 0 %# 1 '�=' D E LL= MAR 0 7 2024 ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work ddNTirVaQFhfE—PV& r Fz gorpply with current federal, state, and local law. The granting of a permit only authorizes approved work and no deviations therefrom. property Deviations n �(ir e{at(1taq�i pL g from the BuildingOfficial before beingauthorized under an circumstance. I am the owner, or I am authorized b the owner of this ro ert to rf o lication is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. Owner/Authorized City of Everett Official Use Only 3/7/2024 PERMIT # Date (Revised 4/21/2022)