412 E VIEW RIDGE DR 2025-06-25 - 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 1 (E) PermitServices@everettwa.gov I (\M everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 412 E View Ridge Drive PARCEL #: 00606400004200 CITY Everett STATE WA z,p 98203 SUITEIUNIT #: FLOOR #: ADDITIONAL LOCATION INFORMATION (if applicable): TENANTIBUSINESS NAME (if non-residential): LEGAL DESCRIPTION for new construction: Short Platisubdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Todd and Gail Provancha OWNER MAILING ADDRESS: STREET 412 E View Ridge Drive CITY Everett STATE WA Zip 98203 OWNER PHONE:425-345-1908 1OWNER EMAIL: provanchagl@gmall.Com CONTRACTOR COMPANY NAME: Property Owner WA STATE CONTRACTOR LICENSE #(REQUIRED): CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE Zip CONTRACTOR PHONE:425-346-0351 1CONTRACTOR EMAIL: provanchatt@gmall.COm PRIMARY CONTACT: El OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Todd and Gail Provancha CONTACT PHONE:425-345-1908 CONTACT EMAIL: provanchagl@gmaii.com BUILDING INFORMATION VALUATION OF WORK: $1000 1 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:residental home PROPOSED USE OF BUILDING:resldental home HEAT SOURCE: ❑Gas ❑Electric ®OtherOil BUILDING TYPE: ®SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT (check all that apply) : ❑New Construction ❑Addition ❑Rernodel ®Repair ❑T.I. []Change of Use ❑Modular ❑Portable ❑Re -roof ❑Exterior Alteration ❑Tank (above ground) []Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub 0-rank (above ground) ❑Other: DESCRIPTION OF WORK: Drywall permit for basement bathroom. Removal of drywall due to water leaks. 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. ► am the owner, or l 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. s City of Everett Official Use Only PERMIT # Owner/Authorized Agent Signa ure Date (Revised 412112022)