7701 HARDESON RD 2025-04-15 - Laserfiche WebLink

BUI•NG PERMIT APPLICATIC CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements ano 'a.•� i=- t WASHINGTON then drop off completed application plus all required submittal documents to 3200 C r '��,-.�t�-,.' ' J t - -+ v it �C CONTACT INFORMATION: (P)425-257-8810 I(E) PermitServices@everettwa.gov I( erettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION 114 1 6 A23 PROJECT SITE ADDRESS: STREET 7701 Hardeson Rd PARCEL#: CITY everett STATE wa CITY QrF9EV RETT Permit ervices SUITE/UNIT#: 72 FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):West Ridge Estates LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Jose M Calderon Bedolla OWNER MAILING ADDRESS: STREET 7701 Hardeson Rd Unt 72 Everett STATE Wa zip 98203 OWNER PHONE:425-321-8095 OWNER EMAIL: madrigal398@gmail.com CONTRACTOR COMPANY NAME:N/A *Signed the affidavite* WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: -CONTRACTOR EMAIL: PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑OTHER (Please Specify) Wife CONTACT NAME: CONTACT PHONE:253-232-4762 Ailin Calderon Madrigal CONTACT EMAIL:madrigal398@gmail.com BUILDING INFORMATION VALUATION OF WORK: $ r/(2Q 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:Manufacture Home (Carport) PROPOSED USE OF BUILDING:Carport for our vehicles HEAT SOURCE: ❑Gas ❑Electric ❑Other N/A BUILDING TYPE: ❑SFR ❑Townhouse EDuplex ❑ADU ❑Multi-Family-# Units:72 ['Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair DTI. ❑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:Carport DESCRIPTION OF WORK:_Rebuilding Carport: 25 feet long / 10 feet Wide / 10 feet high -Will not be attached to manufacture home ACKNOWLEDGEMENT..l 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 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. and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 06/14/2023 I PERMIT# I)