1605 EDGEMOOR LN 2025-04-25 - Laserfiche WebLink

BU +ING PERMIT APPLICATI Da 12©E Q�� EVERETT SUBMITTAL INSTRUCTIONS: See CITY OF EVERETT PERMIT SERVICES applicable submittal checklist for submittal requirem and ry vo r8fccopies require review, WASHINGTON then drop off completed application plus all required submittal documents to a Ceda f"-8444 2nclifqoor Intak op Box. CONTACT INFORMATION: (P)425-257-8810 I(E)PermitServices@everettwa.gov i(VV)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION CITY OF t vt I'l E l T Pfttlrt 8rvIceS PROJECT SITE ADDRESS: STREET 1605 Edgemoor Lane PARCEL#: 00549401301701 city 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: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Jason Heintz& Devon Yeager OWNER MAILING ADDRESS: STREET 9218 Baring Way CITY Everett STATE WA ZIP 98208 OWNER PHONE:425-239-2772 OWNER EMAIL: 1605edgemoor@gmail.com CONTRACTOR COMPANY NAME: Acting as own general contractor WA STATE CONTRACTOR LICENSE#(REQUIRED): n/a CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): n/a CONTRACTOR ADDRESS: STREET n/a CITY n/a STATE n/a ZIP n/a CONTRACTOR PHONE: n/a CONTRACTOR EMAIL: n/a PRIMARY CONTACT: ID OWNER [ ONTRACTOR r)THER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING INFORMATION VALUATION OF WORK:$10,000 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: PROPOSED USE OF BUILDING: HEAT SOURCE: ;as lectric )ther BUILDING TYPE: ;FR ownhouse tuplex n.DU ulti-Family-#Units: f ommercial jccessory Structure TYPE OF PROJECT(check all that apply): I Iew Construction [ ddition Tiemodel C:epair hange of Use lodular [lortable r e-roof [xterior Alteration r'ank(above ground) R7,ccessory Structure ence over 7ft high :ackStorage ool/Hot Tub ank(above ground) )ther: DESCRIPTION OF WORK: Build a new deck off the north side (back) of the house. 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 3/27/2023 PERMIT# Ow thor Agent Signature - Date (Revised 4/21/2022)