4330 CRESCENT AVE 2025-07-31 - Laserfiche WebLink

MINI In BUILDING PERMIT APPLICATION 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 (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 1E i3OCRESCENT AVE(lot 2) t.44 PARCEL#: 00605501500600 CITY EVERETT STATE WA zip 98203 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION(if applicable): TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision ACRE shortplat Lot No.: Lai."5C*1.°F L°T 7 (attach copy of long legal description) CONTACT INFORMATION' VICTORY HEIGHTS ADD TO EVERETT BLK015D-00-ALL OF LOT 6-N SOFT OF LOT 7 OWNER NAME:AMA VENTURES LLC OWNER MAILING ADDRESS: STREET PO BOX 271 CRY LAKE STEVENS STATE WA zip 98258 OWNER PHONE:4255082465 OWNER EMAIL: pavelgpa@gmail.com CONTRACTOR COMPANY NAME: GPA ENTERPRISES INC WA STATE CONTRACTOR LICENSE#(REQUIRED):GPAENEI853D5 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 62284 CONTRACTOR ADDRESS: STREET PO BOX 271 cny LAKE STEVENS STATE WA zip 98258 CONTRACTOR PHONE:4255082465 CONTRACTOR EMAIL:pavelgpa@gmail.com PRIMARY CONTACT: El OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING.INFORMATION VALUATION OF ORK:$ ASSOCIATED LAND USE PROJECT#(if applicable):PW2103-018 (Valuation shall indu the prevailin r markLt value of all ,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE F BUILDI PROPOSED USE OF BUILDIN Nam+ SeVL- HEAT SOURCE: ['Gas ElElectric ❑Other BUILDING TYPE: ❑SFR ['Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ElAccessory 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) ElAccessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub DTank(above ground) ['Other: DESCRIPTION OF WORK:wed Gar ge• le--(A) S 9_, Septic connects to public sewer /-1240 Impervious ft SFR quantitiesv line 01 st): +t-1240 sq SFR(eve I'rne)+/-600 sq ft driveway Ecteuvr Cleared Area=+/-18,200 sq ft Excavation OTY(excavation+fill)= House=+/-46 yds MAR .14 2024 Driveway=+/-14 yds n''Tv-�p ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is�/9 arr caoF I ll l to this permit must comply with current federal,state,and local law.The granting of a permit only authorizes approved work and no deuiatio i t`ns Warn rs be authorized in writing from the Building Official before being authorized under any circumstance.I am the owner,or/am authorized by the � d turn the work for which application is made. and"1 co •ly with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only l' PE T# � 34(�. �, 2.o3 .3°1 Owner/Authorized Agent Signature Date (Revised 4/21/2022)