6520 WETMORE AVE 2025-10-27 - Laserfiche WebLink

B _DING PERMIT APPLICATI.,IV D EVEOVE EVERETT CITY OF EVERETT PERMIT SERVICES JUL 1 22 SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements a n ber of copies req�I for rev , WASHINGTON then drop off completed application plus all required submittal documents to 3200 Ced��ry�FI�,DrpaBox. CONTACT INFORMATION: (P) 425-257-8810 1 (E) PermitServices@everettwa.gov I (W) v 0 v/ t TT (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 6522 Wetmore Ave PARCEL #: 005316-000-030-00 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: SS20-005 Lot No.: 2 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Jacobsen Homes Inc OWNER MAILING ADDRESS: STREET 2518 150th PI SW CITY Lynnwood STATE WA ZIP 98036 OWNER PHONE: 425-330-0444 EMAIL: etj0444@yahoo.com CONTRACTOR COMPANY NAME: 1OOWNER C 0 S L 0 ("1 C3 L WA STATE CONTRACTOR LICENSE #(REQUIRED): TO 0,0O 1 03(� MA CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): j 90 CONTRACTOR ADDRESS: STREET CITY E ( ~�% � STATE ( Jpr ZIP CONTRACTOR PHONE: tf .. -5 D -- C)q CONTRACTOR EMAIL: h&bk(^ef' 0 PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑✓ OTHER (Please Specify) Three OneFour- Applicant CONTACT NAME: James Powell CONTACT PHONE: 425-232-5536 CONTACT EMAIL:314dnc@gmail.com BUILDING INFORMATION VALUATION OF WORK: $ 300 ` 0 ASSOCIATED LAND USE PROJECT # (if applicable): ^wr O — Q (Valuation shall include the prevaili air market value of all labor, Jnatenals, and equipment needed to complete the work, whether actually paid or not.) EXISTING USE OF ILDING: N/A - Finished Lot PROPOSED USE OF BUILDING: Single Family Residential HEAT SOURCE: ❑Gas ❑Electric ❑Other Heat pump 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: DESCRIPTION OF WORK: New 2,025sf 2-story SFR on 5,281 sf finished lot 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 PERMIT # - y I, 0� -2 -/� � l/� �9 - Owner/Authorized Agent Signature Date (Revised 412112022)