1817 HOYT AVE 2025-04-15 - Laserfiche WebLink

iIra milLLDING PERMIT APPLICA1N 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 I(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1817 Hoyt Ave PARCEL#: cry Everett STATE WA ZIP 98201 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT;INFORMATION OWNER NAME:Jay&Barbara Henderson OWNER MAILING ADDRESS: STREET 1817 Hoyt Ave cI7Y Everett STATE WA ZIP 98201 OWNER PHONE:425-478-3758 OWNER EMAIL: bhenderson3@msn.com CONTRACTOR COMPANY NAME:VanderBeken Remodel WA STATE CONTRACTOR LICENSE#(REQUIRED):VANDER*811 RD CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 55051 CONTRACTOR ADDRESS: sTREEr306 State Ave are Marysville STATE WA ZIP 98270 CONTRACTOR PHONE:425-408-2224 CONTRACTOR EMAIL:jaSOn@vanderbeken-remodel.com PRIMARY CONTACT: 0 OWNER ❑✓ CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-408-2224 Jason Taylor CONTACT EMAIL:jason@vanderbeken-remodei.com BUILDING,INFORMATION VALUATION OF WORK:$28,080 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:SFR PROPOSED USE OF BUILDING:SFR HEAT SOURCE: ❑Gas ❑✓Electric ❑Other BUILDING TYPE: I]SFR ❑Townhouse ODuplex ❑ADU OMulti-Family-#Units: El Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑✓Remodel ❑Repair ❑T.i. ❑Change of Use ❑Modular ❑Portable ❑Re-roof DExterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage OPool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK:Remodel of Kitchen and Laundry Room, to include: Removal of drywall, New LVP Floors, Replace exisitng Kitchen window with same RIO that meets WESC, New Cabinets, New Millwork, and New Paint on interior. 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 with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# _4/111011e A116, /fl/zoii 52-707 - 05) ner/A orized ;ent Si. Da (Revised 4/21/2022) t