Laserfiche WebLink
BUILDING PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETTSUBMITTAL 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)everetteps@everettwa.gov i(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 423 Crown Dr PARCEL#: <br /> cITY Everett STATE WA Zlp 98203 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(if non-residential): <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Scott Spencer <br /> OWNER MAILING ADDRESS: STREET 423 Crown Dr <br /> CITY Everett STATE WA ZIP 98203 <br /> OWNER PHONEA25-244-1 335 1OWNER EMAIL: smspencer9@gmail.com <br /> gmall.com <br /> CONTRACTOR COMPANY NAME:Davls Construction Inc <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):DAVISCIO1 1 DK CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 038192 <br /> CONTRACTOR ADDRESS: STREET18 W Marilyn Ave <br /> CITY Everett STATE WA Zip 98204 <br /> CONTRACTOR PHONEA25-501-9556 CONTRACTOR EMAIL:davisconstructioninc@hotmail.com <br /> hotmall.com <br /> PRIMARY CONTACT: ❑OWNER ✓❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425j_5501_95556 <br /> Jeff Davis CONTACT EMAIL:davisconstructioninc@hotmail.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK:$7000 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:Single family res <br /> PROPOSED USE OF BUILDING:same <br /> HEAT SOURCE: ❑✓Gas ❑Electric ❑Other <br /> BUILDING TYPE: ❑✓SFR ❑Townhouse ❑Duplex ❑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:Drywall <br /> DESCRIPTION OF WORK:Replace wet bar cabinets and install drywall on ceiling. Replace accessible copper <br /> pipes due to age and small leaks in ceiling. Replace wet bar sink. Plumbing permit is <br /> waiting for approval. Plumbing permit states for a second kitchen but that is incorrect. <br /> No second cooktop/stove will be added. Left as a wet bar. <br /> ACKNOWLEDGEMENT:1 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.1 am the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, <br /> and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> 4711101)C.�� <br /> Own�/fflhorized Agent Signature Date (Revised 21812021) <br />