2707 VICTOR PL 2025-10-24 - Laserfiche WebLink

.1P Ew,'LDING PERMIT APPLICAT,"N 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 1 (E) PermitServi�es@everettwa.gov I (W) everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMAT ON PROJECT SITE ADDRESS: STREET D % Vi c-M P,/ WNAILtJ PARCEL #: 00553 i B O I (Y Z 30 6 j CITY Q"jGi&_- l\ `) STATE J J A ZIP �`•' i -Zs SUITEMNIT #: FLOOR #: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME (if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal desc(ption) CONTACT INFORMATION OWNER NAME: 2 v/C 112 FL [ G OWNER MAILING ADDRESS: STREET--j-'SM 1 Z�� ' CITY G b ` 0 YV Z)C,. STATE WA I vn' F OWNER PHONE: '-j'ZS _327'14 •% 7 ( OWNER EMAIL: $ j e C6M CONTRACTOR COMPANY NAME: �I WA STATE CONTRACTOR LICENSE #(REQUIRED): CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: bdOWNER ❑ CONTRACTOR ❑ OTHER Please Specify) CONTACT NAME: \\JJ CONTACT PHONE: Lf -Z -2)27 —Lf —7-7f CONTACT EMAIL: S-� 1 �� r'q ,�SNta . c a m B ING INFORMATION VALUATION OF ORK: $ Did SSOCIATED LAND USE PROJECT # (if applicable): (Valuation shall include t s, and equipment needed to complete the work, whether actually paid or not.) EXISTING USE OF BUILDING: 5. PROPOSED USE OF BUILDING: HEAT SOURCE: ❑Gas Electric []Other BUILDING TYPE: NSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ❑Commercial []Accessory Structure TYPE OF PROJECT (check all that apply) : ❑New Construction ❑Addition Wemodel ❑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: A-M WNLs 6�S MAim t-inc,'(� AS SHawtJ GN PLANS. A�CCS"i A (t"" p �dML� OCT 0 7 2023 ACKNOWLEDGEMENT., 1 have reviewed this application and confirm the information contained herein is true and correct. Work der1JTurku2n7 R5 tlE j1 Mi' tkoTnply with current federal, state, and local law. The granting of a permit only authorizes approved work and no deviations therefrom. Deviations rq�j3�yQ ting 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 "tha W10 `fdr Evh6 plication is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# �r� 3to `evised 412112022)