9502 18TH AVE W UNIT O 2025-08-20

iz B _DING PERMIT APPLICA'ISN 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 l(Blue or Black Ink Only Please) PROJECT SITE INFORMATION `PROJECT SITE ADDRESS: STREET 9502 18th Ave W Unit 0 PARCEL#: 0048060010090 cTy Everett STATE WA ZIP 98201 SUITE/UNIT#: Lot 11 FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): Harrison Pointe TENANT/BUSINESS NAME(if non-residential):Harrison Pointe Lot 11 LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Harrison Pointe Lot No.: 11 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Pacific Ridge Homes- DR Horton LLC OWNER MAILING ADDRESS: STREET 17921 Bothell Everett Hwy Ste 100 cln, Bothell STATE WA ZIP 98012 OWNER PHONE:425.939.1164 OWNER EMAIL: RLClancy@drhorton.com `CONTRACTOR COMPANY NAME:Pacific Ridge Homes- DR Horton LLC WA STATE CONTRACTOR LICENSE#(REQUIRED):PACIFRD851 JB CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET 17921 Bothell Everett Hwy Ste 100 cTy Bothell STATE WA ZIP 98012 CONTRACTOR PHONE:425.939.1164 CONTRACTOR EMAIL:RLClancy@drhorton.com PRIMARY CONTACT: El OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425.939.1 164 Rhonda Clancy CONTACT EMAIL:RLClancy@drhorton.com I .a�� BUILDING INFORMATION VALUATION OF WORK: $3 600.00 35 -4 S l p ASSOCIATED LAND USE PROJECT#(if applicable):revii22-008 & revii22-007 (Valuation shall include the prey g fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING:N/A PROPOSED USE OF BUILDING:New Single Family Home 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.I. ❑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: RB2306-005 Lennon AB DESCRIPTION OF WORK: New single family home using Registered Basis ' :ram U ,,� � L , 0,, 0 5 2023 CITY OF �ETT -�2 �0 �4� S perm►t SE\iEervices 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only _i-,6,,y 10.02.23 Pg1L.—�\O '02,E Owner/Authorized Agent Signatu Date (Revised 4/21/2022) 9 9