514 WAVERLY AVE 2025-08-19 - Laserfiche WebLink

BUILDING PERMIT APPLICATION 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 1(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 514 Waverly Ave PARCEL#: 00497100003300 CITY 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.:33 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Allison Langus OWNER MAILING ADDRESS: STREET 514 Waverly CITY Everett STATE WA ZIP 98201 OWNER PHONE: -(X 5" 57 L�^j-� OWNER EMAIL: 1k..,1.4474(c . i tc2; �' �J CONTRACTOR COMPANY NAME: 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 ❑✓ OTHER(Please Specify) Father CONTACT NAME: CONTACT PHONE:425-293-5852 Bill . n o, u S CONTACT EMAIL:zecoug@comcast.net BUILDING INFORMATION VALUATION OF WORK $/0000.0 ASSOCIATED LAND USE PROJECT#(ifapplicable): (Valuation shall include the prey iling fair mar t value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUIL ING: FR PROPOSED USE OF BUILDING:SFR HEAT SOURCE: ❑Gas ❑✓Electric ❑Other Heat pump BUILDING TYPE: R FR ❑Townhouse ❑Duplex EADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑✓Addition ❑✓Remodel ❑Repair ❑T.I. ❑Change of Use EModular EPortable ❑Re-roof ❑✓Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK:Remodel existing Addition to rear 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 6Owner/Authopizgtl AgentIignature 'bats (Revised 4/21/2022)