801 75TH ST SE BLDG 7 2025-10-27

Bvit`DING PERMIT APPLICATiuN CITY OF EVERETT PERMIT SERVICES EVERETTSUBMITTAL 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 (W) everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 801 75th Street SE PARCEL #: 00393700100601 CITY Everett STATE WA Zlp 98203 SUITE/UNIT #: 701 FLOOR #: N.A.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: Douglas M Dewar OWNER MAILING ADDRESS: STREET 123 3rd Ave S Suite 200 c,TM Edmonds STATE WA Z,P 98020 OWNER PHONE: OWNER EMAIL: d.dewar@Outlook.com CONTRACTOR COMPANY NAME: by owner WA STATE CONTRACTOR LICENSE #(REQUIRED): CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑✓ OTHER (Please Specify) 2812 Architecture - Architect CONTACT NAME: Todd Bullock CONTACT PHONE: 425-252-2153 CONTACTEMAIL:todd@2812architecture.com BUILDING INFORMATION VALUATION OF WORK: $$20,000 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: Mulit-family Rec Building PROPOSED USE OF BUILDING:1 bedroom dwelling unit HEAT SOURCE: ❑Gas ❑✓ Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ✓❑Multi -Family - #Units:1/61 total ❑Commercial ❑Accessory Structure TYPE OF PROJECT (check all that apply) : []New Construction ❑Addition ❑✓ Remodel ❑Repair ❑T.I. ❑✓ Change of Use ❑Modular ❑Portable ❑Re -roof El Exterior Alteration ❑Tank (above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub []Tank (above ground) ❑Other: DESCRIPTION OF WORK: Converting a multi -family rec room into a 1 bedroom apartment. Building Permit Application is in response to Corrective Action Notice: CE23-0634 dated 07/03/2023 and filed by Larissa Schwarz. C,0n2306-006 9k�� L� SEP 0 3 2023 ACKNOWLEDGEMENT: I have reviewed this application and confirm the information contained herein is true and correct. Work don6WTYt Of C-VEfR FT with current federal, state, and local law. The granting of a permit only authorizes approved work and no deviations therefrom. Deviations mu r t hQ�FFlIz,e�dr Am� wri m from the Building Official before being authorized under any circumstance. 1 am the owner, or I am authorized by the owner of this property to pe r2 iG��pia►Il O�tion is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only Todd BullockDigitally signed by Todd Bullock Date: 2023.08.31 07:52:46 -07'00' 08.31.2023 PERMIT # 1 6 2 �l _ f� j l/ 1 C/ �/ Date (Revised 412112022) Owner/Authorized Agent Signature