2026 BAKER AVE 2025-05-28 - Laserfiche WebLink

gm In BL.-DING PERMIT APPLICATI...4 CITY OF EVERETT PERMIT SERVICES EVERETTSUBMITTAL 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)everetteps@everettwa.gov l(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2026 Baker Ave PARCEL#: CITY Everett STATE WA ZIP 98201 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable):Front Porch TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: BLK 416 Lot No.: 19 & 20 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Larry ONeal OWNER MAILING ADDRESS: STREET 2026 Baker Ave CITY Everett STATE WA ZIP 98201 OWNER PHONE: 425-281-9180 OWNER EMAIL: larryoneal@comcast.net CONTRACTOR COMPANY NAME:Owner to perform work WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: O OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-281-9180 Larry ONeal CONTACT EMAIL: larryoneal@comcast.net LDING INFORMATION VALUATION OF WORK: $ % r'U '1 3 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevailing faif arket value all labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING: Single Family Residence PROPOSED USE OF BUILDING: Single Family Residence HEAT SOURCE: ❑Gas DElectric ❑Other BUILDING TYPE: OSFR ❑Townhouse ODuplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): Chew Construction ❑Addition ElRemodel ❑Repair ❑T.I. ❑Change of Use ❑Modular ❑Portable ORe-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: New covered front porch. 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 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 wr he State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# Owner/Aut Ag nt Signature Date (Revised 2/8/2021) r/2