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620 LAUREL DR 2025-04-16
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620 LAUREL DR 2025-04-16
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Last modified
4/16/2025 9:43:08 AM
Creation date
3/20/2025 11:51:30 AM
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Address Document
Street Name
LAUREL DR
Street Number
620
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B•DING PERMIT APPLICAlION <br /> OF EVF_i<ETT PERMIT SERVICES <br /> E V E E T T <br /> SUBMITTAL INST;<U(i IONS: 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 /> e:ON i:Ai ;II-3RMATJON: 'P) 25-2 57-8810; (E)PermitSelvices@evs r_tiwa.gov I(W)everettwa.aov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 620 LAUREL DR. PARCEL#: 005619-004-013-00 <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:LISA GREENLEAF <br /> OWNER MAILING ADDRESS: STREET 620 LAUREL DR. <br /> crn EVERETT STATE WA. ZIP 98201 <br /> OWNER PHONE:360.659.1881 OWNER EMAIL: Ilsa@aceacme.com <br /> CONTRACTOR COMPANY NAME:NEUCON CONSTRUCTION LLC <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):1\i k tL 0(,L O V L CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> CONTRACTOR ADDRESS: STREET15010 228TH AVE. SE <br /> CITY MONROE STATE WA Zip 98272 <br /> CONTRACTOR PHONE:206.406.3580 CONTRACTOR EMAIL:paUl@neuconcOnStrUCtiOn.COm <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR ❑✓ OTHER(Please Specify) ARCHITECT <br /> CONTACT NAME: CONTACT PHONE:425.31 7,801 7 <br /> Sandra Higgins CONTACT EMAIL:sandra@caparchgroup.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $90,000 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 /> EXISTING USE OF BUILDING:ATTACHED GARAGE @ EXISTING SFR <br /> PROPOSED USE OF BUILDING:REPAIRED GARAGE @ EXISTING SFR <br /> HEAT SOURCE: ❑Gas ❑Electric ❑✓Other N/A <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) ❑Accessory Structure <br /> ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑✓Other:ATTACHED GARAGE W/ROOF DECK <br /> DESCRIPTION OF WORK:Demo, replace and repair existing structural framing and siding, guardrail, and decking <br /> of attached garage and roof deck. No scope of work at existing SFR. <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 /> Digkalrysgned by Sandra Higgins - -- - <br /> - <br /> DN:D.US,E-Sandra@,apa,,hg,wo.com.O-Cap,alNUifec:sGroup. PERMIT#ng 1Ma <br /> Sandra I99lnsC gEdamen 1/25/23 3v - 0 4-( <br /> JI Da1e'.2023.01.2=m8'00' <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) <br />
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