Laserfiche WebLink
• • <br /> BUILDING PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, <br /> WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. <br /> CONTACT INFORMATION: (P)425-257-8810 I(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 2418 74th St SE PARCEL#: 00398700300201 <br /> cin, Everett STATE WA ZIP 98203 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(if non-residential): BUENA VISTA HOME TRACTS BLK 003 D-01 -N 85FT OF LT 2 EXC W 3FT THOF <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Armando and Kayla Serrano <br /> OWNER MAILING ADDRESS: STREET 2418 74th St Se <br /> clTv Everett STATE wa ZIP 9823 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR COMPANY NAME:R&R Foundation Specialist <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):RRFOUFS829A CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> CONTRACTOR ADDRESS: STREET 1611 E Marine View Dr <br /> CITY Everett STATE wa ZIP 98201 <br /> CONTRACTOR PHONE:425-760-5077x107 CONTRACTOR EMAIL:alesha@rrspecialist.net <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-583-8092 <br /> AI es h a Sti ckI es CONTACT EMAIL:alesha@Rrspecialist.net <br /> BUILDING INFORMATION <br /> VALUATION OF WORK:$7600 ASSOCIATED LAND USE PROJECT#(if applicable): <br /> (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) <br /> EXISTING USE OF BUILDING:SFR <br /> PROPOSED USE OF BUILDING:No change <br /> HEAT SOURCE: ❑Gas ❑Electric ❑Other NA <br /> BUILDING TYPE: ✓❑SFR ❑Townhouse EDuplex ❑ADU ❑Multi-Family-#Units:_ ❑Commercial ❑Accessory Structure <br /> TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑✓Repair ❑T.I. ❑Change of Use <br /> ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure <br /> ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: <br /> DESCRIPTION OF WORK: <br /> Installation of 4 helical piles to stabilize the foundation after settling. <br /> 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 <br /> 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 <br /> 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, <br /> and I comply with t -State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> 1 Ill/ PERMIT# <br /> • er/Authorized AO Signature Date (Revised 4/21/2022) <br />