1213 HOYT AVE 2025-04-17 - Laserfiche WebLink

uns 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 I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1213 HOYT AVE PARCEL#: 00409422800900 cm, EVERETT STATE WA zlp 98201 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):CHURCH &LA MOURES SUPPL BLK 228 D-00-BLK 228 N 15FT LOT 9&S 20FT LOT 10 LEGAL DESCRIPTION for new construction: Short Plat/subdivision: see business name Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Paul Wells-Edwards OWNER MAILING ADDRESS: STREET 1213 Hoyt Ave, 8201 CITY Everett STATE WA Zip 98201 OWNER PHONE: 411. 1(O 0.13 (OWNER EMAIL: CONTRACTOR COMPANY NAME:R&R Foundation Specialist WA STATE CONTRACTOR LICENSE//(REQUIRED):RRFOUFS829DA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET 1611 E Marine View Dr CITY Everett srATE WA zip 98201 CONTRACTOR PHONE:425-583-8062 CONTRACTOR EMAIL:alesha@rrspecialist.net PRIMARY CONTACT: ❑OWNER C✓7 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:See contractor Alesha Stickles CONTACT EMAIL:See contractor BUILDING INFORMATION VALUATION OF WORK:$34800 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:no change HEAT SOURCE: ❑Gas CIElectric ❑Other BUILDING TYPE: ❑✓SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction LAddition ❑Remodel ZRepair ❑T.I. ❑Change of Use ❑Modular LiPortable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: stabilization of existing SFR foundation after home has experienced settling. 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 Alesha Stickles DigitallysignedbyAleshaStickles 12/6/22 PERMIT# Date:2022.12.06152116-08'00' L LL 9) 13 0 I o f Owner/Authorized Agent Signature Date (Revised 4/21/2022)