3003 LEONARD DR 2025-04-16 - Laserfiche WebLink

• CITY OF EVERETT?ERNII T SERVICES E V E: E T_ . 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)everetteps@everettwa.gov I (W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3 0 •03 L.- t4A/240 Pa- VL? PARCEL#: 0O%3/oo eo STATE ZIP ",gD2-1 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): f t TENANT/BUSINESS NAME(if non-residential):O �: („.A NV ( G 151 f! } 1 £- �?a '•- 't e:`'" ,'4,01.��f 4` LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal desc}iP(ijfir CONTACT INFORMATION OWNER NAME: Tajtvi j_ (,rY 4 V 1417 OWNER MAILING ADDRESS: STREET 3 t')3 1 EpW t ve CITY FAJE-le- -"Tr STATE WA- ZIP ►OvZ I OWNER PHONE: itZS • 2 1.-3rj1?. OWNER EMAIL: 72,ni1 y off g Y4L oo. Coin, CONTRACTOR COMPANY NAME: .10 6E,Orre12,44 I pre WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR AOTHER(Please Specify) 1,06‘01 WO/a- -CONTACT NAME:, I i 2 Kit- Gto►GN CONTACT PHONE: 34,0G 29 d 5-d J { e, ok MMou tt?ri(N ne. AroMn CONTACT EMAIL: S®r1p"(.�NylGvy,( (��G�10►r' �'j� .COw BUILDING INFORMATION I VALUATION OF WORK: $ 65,000 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: 6-fie PROPOSED USE OF BUILDING: 'Gf(10-- HEAT SOURCE: fas ❑Electric ❑Other 4-� BUILDING TYPE: *FR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition Azemodel ❑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: I N-c 0 2. r- ay,benav ar rt - le0 w to K.✓z a.! o N I.At N fi.00 gepl,o r t- of- 2 wI r,400kis, ► .'I LM T kw) 4Ate-14 W W No ow . ot� bon rzeP �� r w moow . I N�glu +, 'Ro v rV -r (fog- ► *o s G y�) . � wer44 c <) . 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 Bui; g ciai e ' 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, ¢u2i2lv with the State tractors Law 18.27 RCW and 296.200A WAC. City of Everettj� Official Use Only IS• ?OZ4 PERMIT# �1V.(13 ' 0� 5 r- Owner/Au rrt gnature Date (Revised 2/8/2021) t