555 PILCHUCK PATH 2025-08-14 - Laserfiche WebLink

B�_ DING PERMIT APPLICAT 1 ©1IIVI EVER" E T T CITY OF EVERETT PERMIT SERVICES ccCCpp SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirementpa nurk:Eapf toaien( fired f iew, WASHINGTON then drop off completed application plus all required submittal documents to 3200 edar Street 2nd Floor Intake Box. CONTACT INFORMATION:(P)425-257-8810 I(E)PermitServices@everettwa.gov I )re r .ff i epgjtsmt TT (Blue or Black Ink Only Please) PROJECT SITE INFORMATION Permit Servir.AQ PROJECT SITE ADDRESS: STREET 555 Pilchuck Path PARCEL#: 39660000501 CITY Everett STATE WA ZIP 98201 SUITE/UNIT#: NIA FLOOR#: N/A ADDITIONAL LOCATION INFORMATION (if applicable): N/A TENANT/BUSINESS NAME(if non-residential):N/A LEGAL DESCRIPTION for new construction: Short Plat/subdivision: N/A Lot No.: N/A (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Austin Weaver OWNER MAILING ADDRESS: STREET 555 Pilchuck Path CITY Everett STATE WA ZIP 98201 OWNER PHONE:(425)2078-6923 OWNER EMAIL: nfcwestl @comcast.net CONTRACTOR COMPANY NAME:N/A 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: i]OWNER LI CONTRACTOR ❑OTHER(Please Specify) N/A CONTACT NAME: NSA CONTACT PHONE:N/A CONTACT EMAIL:N/A BUILDING INFORMATION VALUATION OF WORK:$5,300.00 ASSOCIATED LAND USE PROJECT#(if applicable):N/A (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:Single Family Residence PROPOSED USE OF BUILDING:It will continue to sereve as a Single Family Residence. HEAT SOURCE: ❑✓Gas ❑✓Electric ❑Other BUILDING TYPE: ❑✓SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ❑T.l. ❑Change of Use ❑Modular ❑Portable ❑Re-roof ❑✓Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK:Build a new porch that starts 4 feet from the Southwest corner of the house, continues North, wraps around the Northeast corner of the house, continues along the North side of the house and ends 9 feet from the Northeast corner 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 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# d/tiMt_ ,�� o cZ/ � , &ate0� 6 Owrized Agent Signature Date (Revised 4/21/2022)