3527 SHORE AVE 2025-04-17 - Laserfiche WebLink

B•DING PERMIT APPLICATON 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 3527 Shore Ave. PARCEL#: 00433600000500 clry Everett STATE WA ZIP 98203 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME (if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: EDGEWATERBLKo00o-00-LOT 5INCLTIDE'ANDS Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Kris & Denise Peterson OWNER MAILING ADDRESS: STREET 3527 Shore Ave. CITY Everett STATE WA ZIP 98203 OWNER PHONE: OWNER EMAIL: Iumavr@mSrl.COm CONTRACTOR COMPANY NAME: ,SC t I GZ✓ /'J1 WA STATE CONTRACTOR LICENSE#(REQUIRED): S I U,V(L 8 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 05 t 1 Gf CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR Z OTHER(Please Specify) Architect/agent CONTACT NAME: CONTACT PHONE:206.660.0890 Elizabeth Clay, AIA CONTACT EMAIL:elizabeth@claydesignllc.onmicrosoft.com BUILDING INFORMATION VALUATION OF WORK:$150,000 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:Garage PROPOSED USE OF BUILDING:Garage HEAT SOURCE: ❑Gas ❑Electric ❑�Otheruncond. BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial L✓1Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction LIAddition ❑Remodel ❑Repair ❑T.l. ❑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:GARAGE ADDITION & 2ND STORY UNCOND. STORAGE AREA. 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 Cz- 6/27/22 PERMIT# c3 2Z® -7 ' a®CO Owner/Authori3'ed Agent Signature Date (Revised 4/21/2022)