3710 W MUKILTEO BLVD A HARBORS EDGE TOWNHOMES 2025-08-14

sim B LDING PERMIT APPLICATI 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 i(E)PermitServices@everettwa.gov i(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: -EET 3710 :...c..�.;—.W Mukilteo Blvd PARCEL#: 00'36 02.00433600004700,"A01 600•00433600004500 CITY Everett 1 kil; ) ! :!� STATE WA zip 98203 SUITE/UNIT#: -g-t4Ftits-6 . FLOOR#: 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 CITY 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: STREET9505 19th Ave SE, Suite 118 CITY Everett STATE WA Zip 98208 CONTRACTOR PHONE:425-609-8074 CONTRACTOR EMAIL:vicki@sagehomesnw.com PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-231-7777 Vicki Harrison CONTACT EMAIL:vicki@sagehomesnw.com BUILDING INFORMATION p VALUATION OF WORK:$ K.7,„ ASSOCIATED LAND USE PROJECT#(if applicable):REVI122-001 (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 ©Electric ❑Other 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) ElOther: DESCRIPTION OF WORK: D ECIEUVE7°Construct Building B, 4 Unit Townhouses U/v / MAY 23 2023 J CITY OF EVERETT Permit Services 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 . . ,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 Offs'al be 1,: .-. . : horized 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 corn. with, -tale Con rotors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only I ( PERMIT# 0 - /0 (3 `f). 5-e Owner/Authorized Agent Signature Date (Revised 4/21/2022)