1606 RUCKER AVE 2025-03-31 - Laserfiche WebLink

BUILDING 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 1(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1606 Rucker Ave PARCEL M 00438034302900 CITY Everett STATE WA zjp 98201 SUITE/UNIT M NIA FLOOR#: NIA ADDITIONAL LOCATION INFORMATION (if applicable): N/A TENANTIBUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Carson Bowlin OWNER MAILING ADDRESS: STREET PO Box 1920 CITY Everett STATE WA ZIP 98201 OWNER PHONE: 206.909.1631 OWNER EMAIL: cwbowlin@gmail.com CONTRACTOR COMPANY NAME: NIA WA STATE CONTRACTOR LICENSE#(REQUIRED): N/A CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): NIA CONTRACTOR ADDRESS: STREET N/A CITY N/A STATE NIA ZIP N/A CONTRACTOR PHONE: NIA CONTRACTOR EMAIL: N/A PRIMARY CONTACT:XD OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: Carson Bowlin CONTACT PHONE: 206.909.1631 CONTACT EMAIL: cwbowlin@gmail.com BUILDING INFORMATION VALUATION OF WORK: $ $2,500 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: Residential home PROPOSED USE OF BUILDING: Residential home HEAT SOURCE: ❑Gas X ❑Electric ❑Other BUILDING TYPE:XL]SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition XORemodel ❑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: Replacing drywall,insulation and small sections of framing. Nt5— aE ►� � ON PERMIT UP ACKNOWLEDGEMENT:l have reviewed(his 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 being authorized under any circumstance.l 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. .� City of Everett Official Use Only 7 PERMIT# .25.23 13230 0(3 Owner/Authorized Agent Signature Dale (Revised 412112022)