1612 33RD ST 2025-05-29 - Laserfiche WebLink

BlaiDING 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: STREET 1612 33rd ST PARCEL#: 00661100000200 cm( EVERETT STATE WA ZIP 98201 SUITE/UNIT#: 102 FLOOR#: 1ST ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME (if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: PLAT OF EVERETT DIVISION A Lot No.: 31 &32 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:DEAN DESILVA OWNER MAILING ADDRESS: STREET 1612 33RD ST#102 CITY EVERETT STATE WA zip 98201 OWNER PHONE:425-343-7095 OWNER EMAIL: CONTRACTOR COMPANY NAME:HOME DEPOT WA STATE CONTRACTOR LICENSE#(REQUIRED):HOMED"088RH CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): C ;' F. CONTRACTOR ADDRESS: STREET P.O. BOX 105451 cry ATLANTA STATE GA zip 30348 CONTRACTOR PHONE:770-433-8211 CONTRACTOR EMAIL:hd@nwpermit.com PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR ❑OTHER (Please Specify) Permit Agent CONTACT NAME: CONTACT PHONE:206 601 7043 William M i l l h o l l i n CONTACT EMAIL:william@nwpermit.com BUILDING INFORMATION VALUATION OF WORK: $11,963.82 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:Residential - Condominium PROPOSED USE OF BUILDING:Residential - Condominium HEAT SOURCE: ]Gas ❑Electric 'flOther wood BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ulti Family-#Units:6 ❑Commercial Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Change of Use ❑Modular ❑Portable FRe-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage CPool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: REMOVE AND REPLACE 6 WINDOWS ON THE FIRST FLOOR IN AN EXISTING CONDOMINIUM UNIT, LIKE FOR LIKE IN SIZE, NO CHANGE TO STRUCTURAL OR CLEAR OPEN. 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 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 10/18/2022 PERMIT# SO. t() 0 9 Owner/Author Agent Signature Date (Revised 4/21/2022) Z