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1007 49TH PL SW 2025-04-22
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1007 49TH PL SW 2025-04-22
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4/22/2025 2:49:22 PM
Creation date
4/9/2025 2:08:47 PM
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Address Document
Street Name
49TH PL SW
Street Number
1007
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• • <br /> BUILDING PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT <br /> SUBMITTAL INSTRUCTIONS: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 /> CONTACT INFORMATION: (P)425-257-8810 I(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 1007 49th SW PARCEL#: 00781200000500 <br /> CITY Everett STATE WA ZIP 98203 <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:Marie GaHagec. G4uAc f16 <br /> OWNER MAILING ADDRESS: STREET 1007 49TH PL SW <br /> ciTY EVERETT STATE WA Zip 98203 <br /> OWNER PHONE: 206-618-2941 OWNER EMAIL: marie_gallagher@msn.com <br /> CONTRACTOR COMPANY NAME:R&R Foundation Specialist <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):RRFOUFS829DA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 1 3 <br /> CONTRACTOR ADDRESS: STREET 1161 E Marine View Dr <br /> cry Everett STATE wa Zip 98201 <br /> CONTRACTOR PHONE:425-760-5077 CONTRACTOR EMAIL:alesha@rrspecialist.net <br /> PRIMARY CONTACT: ❑OWNER n CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-760-5077x107 <br /> Alesha Stickles CONTACT EMAIL:alesha@rrspecialist.net <br /> BUILDING INFORMATION <br /> VALUATION OF WORK:$16050 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:SFR <br /> PROPOSED USE OF BUILDING:SFR <br /> HEAT SOURCE: ❑Gas ❑Electric ❑Other <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 C✓1Repair ❑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: <br /> DESCRIPTION OF WORK: <br /> Installation of 6 helical piles to construction plan to stabilize the foundation after settling <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 /> Digitally signed by Alesha Stickles PERMIT# <br /> Alesha Stickles Date 2022.09.0610:3313-0T00' • (9 9-- .(7,q <br /> Owner/Authorized Agent Signature Date (Revised 4/21//2-0'22))�l/ <br />
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