2323 LEXINGTON AVE 2025-07-10 - Laserfiche WebLink

BUILLNG PERMIT APPLICATION• 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 l(E)PermitServices@everettwa.gov I (W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2323 Lexington Ave SE PARCEL#: 00544801302400 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: Pinehurst Div A Replat Lot No.:24&25 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Miguel Lomeli OWNER MAILING ADDRESS: STREET 2323 Lexington Ave SE CITY Everett STATE WA zip 98203 OWNER PHONE:425-268-6102 OWNER EMAIL: CONTRACTOR COMPANY NAME:Owner WA STATE CONTRACTOR LICENSE#(REQUIRED): f n 1 Iv T SNg(93Z CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):(Dl &cy CONTRACTOR ADDRESS: STREET ECIE-OVEICITY STATE Z1 CONTRACTOR PHONE: CONTRACTOR EMAIL: _ H A I Ir 2-5 2g23 9) PRIMARY CONTACT: ID OWNER E CONTRACTOR ❑✓ OTHER(Please Specify) Architect _ 7 t�( CONTACT NAME: CONTACT PHONE:425_3455-2530 CITY (1 ---EVt (E1 T Dante Pal maffy CONTACT EMAIL:Dpalmaffy@aol.com Permit Services BUILDING INFORMATION VALUATION OF WORK: $15000.00 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevailing fair market value of at labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING:Detached Garage PROPOSED USE OF BUILDING:Detached Garage HEAT SOURCE: ❑Gas ❑Electric LIII Other None BUILDING TYPE: ❑SFR El Townhouse Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial DAccessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel [ IRepair ❑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:Rebuild detached garage that was damaged and removed because of transient started fire. Non permitted demolition was performed at the behest of the insurance company. 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 bein 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 'th the Stat C tractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# 23 55 0 er/Authorized Agent ' t Date (Revised 4/21/2022)