3617 OAKES AVE 2025-10-24 - Laserfiche WebLink

ECEOVE BUILDING PERMIT APPLICAI IVIiV CITY OF EVERETT PERMIT SERVICES R FEB 0 2 2024 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 3200C4dPAt e1 2rEVE TT-T)rop Box. CONTACT INFORMATION: (P) 425-257-8810 1 (E) PermitServices@everettwa.gov I (W)pv,&rAtpRgUKyIl) , (Blue or Black`lnk Only Please) ' ` ' .� ' " • PRO_JECTSITE_ INFORMATION` _ . _, ' PROJECT SITE ADDRESS: STREET 3G17 Oakes Aijenue PARCEL#:00 (00RO CITY r-+-t- STATE wA ZIP 9'R? ,0( SUITE/UNIT #: FLOOR #: ADDITIONAL LOCATION INFORMATION (if applicable): G-�4er,ac- S4v t'r6 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: R OlpQX--(- G,md 146 L-4 f, OWNER MAILING ADDRESS: STREET ' 2 CffY fcdFMond5 STATE VJA ZIP 49Oo OWNER PHONE: 2.0(p- 300 - 2.090 1OWNER EMAIL: h hoot co mai C-OU,„ CONTRACTOR COMPANY NAME: 0W V1Q,� 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) o CONTACT NAME: 0tn f-01.d CONTACT PHONE: Z0 _ 0 ,r 30 23 CONTACT EMAIL: alntn Otn r-C'et ComGQ S BUILDING' INFORMATION;. VALUATION OF WORK: $ ( 000. 00 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, whetheractually paid or not.) EXISTING USE OF BUILDING: VV%%XGCO V O l/VL6 PROPOSED USE OF BUILDING: HEAT SOURCE: , []Gas ❑Electric ❑Other Uytkrwwn BUILDING TYPE: ❑SFR ❑Townhouse []Duplex ❑ADU ❑Multi -Family - # Units: Xcommercial ❑Accessory Structure TYPE OF PROJECT (check all that apply) : El New Construction []Addition ❑Remodel RRepair ❑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: C>'GrCOr c54-Cit r s DESCRIPTION OF WORK: I�P.�ai��=r.s�raila•I-tor o-F 4r, AC'PtC CLV%.a neCCSsar�y de-St9tti o"PMvemeet a -, .A evL 4 (` a.eu"� cLr-& w tv`a--j +o by- S't-G,c rW Q�/ u p +p Got71L t� f G �CJ�u t �rCw1 P�✓l-�S C. o tr'r>,C G�'t vt-� Uh SQ tG � $'t-�^ tJ G'�t/v�i.� Coot.dl+coros otkjt-ied IH Coc.e C.ornplw.hce cg5e d' CIE L2-l03Z 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. 1 am the owner, or 1 am authorized by the owner of this property to perform the work for which application is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. 1-30-ZY f F-1 City of Everett Official Use Only PERMI-2-2Ag —OL (Revised 412112022) �J