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B•DING PERMIT APPLICAllpN <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETTSUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, <br /> WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. <br /> CONTACT INFORMATION: (P)425-257-8810 I (E) PermitServices@everettwa.gov I (W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 1032 W Marine View Drive PARCEL#: 0196006 <br /> cm' Everett STATE wa ZIP 98201 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME (if non-residential): <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Harbor Marine Maintence And Supply Inc, Lauren Bivins <br /> OWNER MAILING ADDRESS: STREET 1032 W MARINE VIEW DR, EVERETT, WA 98201 <br /> cm, everett STATE wa ZIP 98201 <br /> OWNER PHONE: 425-508-0965 OWNER EMAIL: <br /> CONTRACTOR COMPANY NAME:R&R Foundation Specialist <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):RRFOU FS829SA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> CONTRACTOR ADDRESS: STREET 161 1 E Marine View Dr <br /> cm Everett STATE WA zip 98201 <br /> CONTRACTOR PHONE:425-760-5O77X1 07 CONTRACTOR EMAIL:aleSha@rrSpecialiSt.net <br /> PRIMARY CONTACT: ❑ OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-760-5077X1 07 <br /> Alesha Stickles CONTACTEMAIL:alesha@rrspeclallst.net <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $17200 ASSOCIATED LAND USE PROJECT#(if applicable): <br /> (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) <br /> n, <br /> EXISTING USE OF BUILDING:Busii less <br /> PROPOSED USE OF BUILDING:NO changes <br /> HEAT SOURCE: ❑Gas ❑Electric Other <br /> BUILDING TYPE: ❑SFR ❑Townhouse Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> TYPE OF PROJECT (check all that apply): ❑New Construction ❑Addition ❑Remodel ❑✓Repair ❑T.I. ❑Change of Use <br /> ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) EAccessory Structure <br /> ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: <br /> DESCRIPTION OF WORK:Installation of 8 Helicals to stabilize and lift the foundation after settling. <br /> 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 <br /> 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 <br /> 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, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> AIeSI{-�la Stickles DDatlea12023.020b1y1313951St08'00' PERMIT# / '2-3r) - <br /> � � L <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) 1 1 <br /> �G <br />