9815 HOLLY DR 2025-04-15 - Laserfiche WebLink

E BIDING PERMIT APPLICATI•N 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)425.257.88101(E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 9815 Holly Drive PARCEL#: 00754000120100 cITY Everett STATE WA ZIP 98204 SUITE/UNIT#: A201 FLOOR#:2 ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):Jeffery Leach LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.'. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME:AmOr Restoration, LLC WA STATE CONTRACTOR LICENSE#(REQUIRED):604551814 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): Processing CONTRACTOR ADDRESS: STREET1 891 5 142nd Ave NE, Suite 140a CITY Woodinville STATE WA ziP 98072 CONTRACTOR PHONE:206-669-9692 CONTRACTOR EMAIL:sarah@amorrestoration.com PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-669-9692 Sarah Kennedy CONTACT EMAIL:sarah@amorrestoration.com BUILDING INFORMATION VALUATION OF WORK:$20,000 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevailing fair market value of at labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING:COndO PROPOSED USE OF BUILDING:COndO HEAT SOURCE: ❑Gas ❑Electric ❑Other "BUILDING TYPE: ESFR ❑Townhouse ❑Duplex ❑ADU ❑✓Multi-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑✓Remodel ❑✓Repair ETA. ❑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:Repair walls, flooring and cabinets from a fire. 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# 1/I(o ffu...— -t,\—. ( Own r/Authorized Ag, t Signature Date (Revised 2/8/2021) ii