512 WINTON AVE 2025-08-20 - Laserfiche WebLink

ni BUILI G PERMIT APPLICATIOt -- M -1 CITY OF EVERETT PERMIT SERVICES u V I EVERETT SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirement d number of copies required fc I r iew, WASHINGTON then drop off completed application plus all required submittal documents to 32 edarr§rAQt 254 Flt cktake Cro Box. e CONTACT INFORMATION: (P)425-257-8810 1(E)PermitServices@everettwa.go I v i } ,a(g / ats (Blue or Black Ink Only Please) PROJECT SITE INFORMATION 'TY OF EVERETT PROJECT SITE ADDRESS: STREET512 Winton Avenue PARCEL#: 00 711 g1Wgp Services CITY Everett STATE W ZIP 98201 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable):Garage 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:Tadd Morris OWNER MAILING ADDRESS: STREET 14004 54th Avenue SE cm, Everett STATE WA ZIP 98208 OWNER PHONE:206-595-5895 OWNER EMAIL:Tadd.morris@gmail.Com CONTRACTOR COMPANY NAME:Self - owner WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY /1/ STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-595-5895 CONTACT EMAIL:Tadd.morris@gmail.com BUILDING INFORMATION VALUATION OF WORK:$15,000 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:Single-family residential rental PROPOSED USE OF BUILDING SinglPeeee amity residential rental HEAT SOURCE: ❑Gas CiElectric' ❑Other BUILDING TYPE: ✓❑SFR ❑Townuse ❑Duplex ❑ADU ❑Multi Family #Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ENew Construction ❑Addition ❑Remodel ❑Repair ❑T.I. ✓❑Change of Use ❑Modular ❑Portable DRe-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) DOther: DESCRIPTION OF WORK:Convert garage/laundry room into 3rd bedroom, 2nd bathroom. When I purchased the house in 2008, much of the work was already done. The room had been converted into is 3rd bedroom/2nd bathroom. ieck.42_,00 N.,,___ iN. c›.4-A-ge b .QC- — ' 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 I comply with the State Contractors La 1 .27 RCW and 296.200A WAC. City of Everett Official Use Only 17;------ 67 / 3 2-2 I PERMIT# 3 0 g 05 I