504 VIEW RIDGE DR 2025-10-24 - Laserfiche WebLink

BUI• � _ `ING PERMIT APPLICATIOI. jjt EVERETT SUBMITTAL INSTRUCTIONS: See CITY OF EVERETT PERMIT SERVICES c applicable submittal checklist for submittal requirements and fi er ofOc As quii`CfiWd�n�� r revie WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar eet�4oq�lpkp,[pBox. CONTACT INFORMATION: (P) 425-257-8810 1 (E) PermitServices@everettwa.gov I (W) eve a.g er • t CC (Blue oiB!ackInk. ,On/y'Please)' PROJECT`SITE-INFORMATION ....`.,. , :, . �' ' V 5' PROJECT SITE ADDRESS: STREET O V 'J r t PARCEL #: % 0 0010 � �'` CITY r` .e Y Oak STATE W ZIP SUITE/UNIT #: 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 description) , CONTACT INFORMATION OWNER NAME: 1 C r' o CA �\ cl e� Crh '►'1 9 OWNER MAILING ADDRESS: STREET t? Li UI e YIT CU J ' CITY t ��'� STATE ZIP 0 OWNER PHONE: ', o h O OWNER EMAIL: t'(� (;�� - r CONTRACTOR COMPANY NAME: _t � C �� 1nL C v,,N 94h WA STATE CONTRACTOR LICENSE #(REQUIRED): �1i �C� ?q'Q r CITY OF EVERETT BUSINESS LICENSE #(REQ IRED): CONTRACTOR ADDRESS: STREET G O S 1 4, J f CITY am011ci1.5 STATE A ZIP �oZo CONTRACTOR PHONE: CONTRACTOR EMAIL: _. ........ ....,..._ _...,.__. ,.._._ ........... .......... _... ......_.._...,_.. PRIMARY CONTACT: ❑ OWNER [CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Ap `/ ti/1�0`V �' �i 1/� � CONTACT PHONE: 1 ©b '3$ 2 OW CONTACT EMAIL: Cn.Kj '{i11I iD 44CS Y'_ L o ho UILDING INFORMATION VALUATION OF CORK: $ SCE 000 ASSOCIATED LAND USE PROJECT # (if applicable): (Valuation shall Include the pr materials, and equipment needed to complete the work, whether actually paid or not.) c EXISTING USE OF BUILDING: J, h to VV%I. PROPOSED USE OF BUILDING: C vt PA5 HEAT SOURCE: []Gas NfElectric 00ther BUILDING TYPE: CAFR ❑Townhouse []Duplex ❑ADU ❑Multi -Family - # Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT (check all that apply) : ❑New Construction 2rAddition []Remodel ❑Repair 13T.1. []Change of Use OModular []Portable ❑Re -roof El Exterior Alteration ❑Tank (above ground) ElAccessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank (above ground) ❑Other: 1 DESCRIPTION OF WORK: i us1W5 I Vt 0-F Cj VI G1U1 �-I ovi Vctk vlou c^ �jc��` C60 �& T c a oil vk9 i �A O� aVtEk o-� VoAo ly l s ,. Qe otf,. 0V0 V\ i<5 i" \d2 cn c W�.A �r' ACKNOWLEDGEMENT., 1 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 1 am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 1r?l y fcJ -23 PERMIT# 64/m �3��-0 Owner/Authorized Agent Signature Date (Revised 4/21/ 022)