1617 COLBY AVE 2025-07-31 - Laserfiche WebLink

iii B_DING PERMIT APPLICATA 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)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1617 Colby Ave PARCEL#: 00438034000800 clTy Everett STATE WA ZIP 98201 SUITE/UNIT#: FLOOR#: all ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: EVERETT DIV L PLAT OF BLK 340 D-00 Lot No.: 8&1/2 of 9 (attach copy of long legal description) CONTACT INFORMATION' OWNER NAME:Travis Coletti OWNER MAILING ADDRESS: STREET 1617 Colby ave cny Everett STATE WA ZIP 98201 OWNER PHONE: OWNER EMAIL: travcoletti@hotmail.com CONTRACTOR COMPANY NAME:Golden Coast Restoration WA STATE CONTRACTOR LICENSE#(REQUIRED):GOLDECC809P1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 68354 CONTRACTOR ADDRESS: STREET 1201 MONSTER RD STE 320 CITY RENTON STATE WA zP 98057 CONTRACTOR PHONE:206-888-7240 CONTRACTOR EMAIL:matt.togstad@goldencoastco.com PRIMARY CONTACT: ❑OWNER El CONTRACTOR ❑✓ OTHER(Please Specify) ARCHITECTsteam CONTACT NAME: CONTACT PHONE:425-773-4356 Alex Dariotis CONTACT EMAIL:dariotis2@gmail.com BUILDING INFORMATION VALUATION OF include WORK:$ k �p 2—Lk WORK: LAND USE PROJECT#(if applicable): (Valuation shall ing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not) EXISTING USE OF BUILDING:SFR PROPOSED USE OF BUILDING:SFR HEAT SOURCE: OGas EElectric ❑Other BUILDING TYPE: ESFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ElCommercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition DRemodel ERepair ❑T.1. ❑Change of Use ❑Modular DPortable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage DPool/Hot Tub ❑Tank(above ground) DOther: DESCRIPTION OF WORK: Repair to single family residence due to fire. Adding conditioned space to the basement. ....J �k� D ECEOVE1 cl . ieSe-v-tA-._k--- "%L 2___ SEP 16 2023 CITY OF EVFP TT ACKNOWLEDGEMENT:/have reviewed this application and confirm the information contained herein is true and correct.Work done pP)raithi$ VJrGG Fbmp/y 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 fi,/or �3 PERMIT#46., � � - Otto Owner/Authorized Agent Signature Date (Revised 2/8/2021)