3620 W MUKILTEO BLVD H HARBORS EDGE TOWNHOMES 2025-08-13

BUILLING PERMIT ECEIMETh APPLICATION!'D CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirem nd number of copies required f view, WASHINGTON then drop off completed application plus all required submittal documents to Ceda}y��lryr��et take D Box. CONTACT INFORMATION: (P)425-257-8810 I(E)PermitServices@everettwa. W)4 Mrettwa.bvi ht itts (Blue or Black Ink Only Please) 36fpo PROJECT SITE INFORMATION (;ITY CW FVFRFTT PROJECT SITE ADDRESS: STREET 37=1' 71 /S6#B W Mukilteo Blvd PARCEL#: oa133800° Nict4e0 °°4aaeoo°oas°° cln. Everett STATE WA ZIP 98203 SUITE/UNIT#: AN t1 ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME (if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: See attached Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Sage Homes Northwest, LLC OWNER MAILING ADDRESS: STREET 9505 19th Ave SE, Suite 118 cITl Everett STATE WA ZIP 98208 OWNER PHONE:425-609-8074 OWNER EMAIL: permits@sagehomesnw.com CONTRACTOR COMPANY NAME:Sage Homes Northwest, LLC WA STATE CONTRACTOR LICENSE#(REQUIRED):SAGEHHN932QM CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 61991 CONTRACTOR ADDRESS: STREET 9505 19th Ave SE, Suite 118 CITY Everett STATE WA ZIP 98208 CONTRACTOR PHONE:425-609-8074 CONTRACTOR EMAIL:vicki@sagehomesnw.com PRIMARY CONTACT: 0 OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-231-7777 Vicki Harrison CONTACT EMAIL:vicki@sagehomesnw.com BUILDING INFORMATION VALUATION OF WORK:$2,383,976.08 =Rciz 9.97 a t2( ASSOCIATED LAND USE PROJECT#(if applicable):REVII22-001 (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:NA PROPOSED USE OF BUILDING:Townhomes HEAT SOURCE: ❑Gas DElectric ❑Other BUILDING TYPE: ❑SFR F1Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ONew Construction ❑Addition ❑Remodel ❑Repair ETA. ❑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: Construct Buildin€:}3,. Unit Townhouses Q44esa22 _cot ACKNOWLEDGEMENT:I have reviewed this application and confirm the Information contained herein/s 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 wit State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only / � ) PERMIT# ^ Owniir/Authorlihed Agent Signal ate (Revised 4/21/2022)