2232 CHESTNUT ST 2025-04-25 - Laserfiche WebLink

mu in 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 22-32 C REST NUT- S i PARCEL#: 2 9O J z oc C II O 5 S O0 CITY eii ,CM- STATE WA' ZIP 478201 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: Ai.-rats SM ITl4 OWNER MAILING ADDRESS: STREET Z 2 3 Z C 14 T N V 1 `>> CITY Eve*/e.-T(- _ _ STATE ' ZIP 9g 2O j OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME: S Q tj,Q'(L E FOOT L.L- WA STATE CONTRACTOR LICENSE#(REQUIRED):5G(4'j FL. 'p `.SICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 6( r�9 CONTRACTOR ADDRESS: STREET 34 2 8' N Z 8 . • ST c v CITY !t4 efi ki 5 i/(ICI,e- STATE IN'A- ZIP 9 8 2"7 0 CONTRACTOR PHONE:( 3e,0) K4i-e( (,L((, 3 [ONTRACTOR EMAIL: "R e ve_-A+h SYC are'areC co - (—er PRIMARY CONTACT: ❑OWNER El CONTRACTOR 0 OTHER(Please Specify) {M CONTACT NAME: CONTACT PHONE: ( 'Roo ) 6(7 0 -- O(o—7 (7 �./ t.0 k$0'3 CONTACT EMAIL: t e -\0"k k.„Astva(2-c_xA .(.brv\ BUILDING INFORMATION VALUATION OF WORK:$ Z(G 0I 6.00 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevailing fair market v8lue of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING: VC'St ID cv C C PROPOSED USE OF BUILDING: HEAT SOURCE: ❑Gas giElectric ❑Other BUILDING TYPE: gSFR ❑Townhouse ElDuplex ❑ADU EMulti-Family-#Units: ElCommercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction WAddition :Remodel ❑Repair ❑T.I. ❑Change of Use EModular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure EFence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: /4"IDDk /-iG -3 c Lt 5Q �I- OF A-DO tTlO►--k-c.. L--1 Vt L Co s P4 f' 4-5 ,it4k u) ACKNOWLEDGEMENT:l 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 b. e' 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 c with the Sta Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# 1o .Ig . 22— ? /O _O5y Ow thorized Agent Signatu Date (Revised 4/21/2022)