Laserfiche WebLink
E BUILaiNG PERMIT APPLICATION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES /�PR 1 <br /> SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements number of copies-recruit-MI for re ,I-i, <br /> WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedarpp vt F gqr,�IA, t aer�f�Box. <br /> CONTACT INFORMATION: (P)425-257-8810 I(E)PermitServices@everettwa.gov I(W)€i ettwi ei{rfi€s I <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION ern'ernt clviues <br /> PROJECT SITE ADDRESS STREET 3702I N Mukilteo Blvd PARCEL#: D04331300034802,004336000047X D043380000 00,00433603004500 <br /> CITY Everett STATE WA zIP 98203 <br /> SUITE/UNIT#: v I ,� ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(if non-residential): <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: See attached Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Sage Homes Northwest, LLC <br /> OWNER MAILING ADDRESS: STREET 9505 19th Ave SE, Suite 118 <br /> CITY Everett STATE WA ZIP 98208 <br /> OWNER PHONE:425-609-8074 OWNER EMAIL: permits@sagehomesnw.com <br /> CONTRACTOR COMPANY NAME:Sage Homes Northwest, LLC <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):SAGEHHN932QM CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 61991 <br /> CONTRACTOR ADDRESS: STREET9505 19th Ave SE, Suite 118 <br /> C17' Everett STATE WA ZIP 98208 <br /> CONTRACTOR PHONE:425-609-8074 CONTRACTOR EMAIL:vicki©sagehomesnw.com <br /> PRIMARY CONTACT: 0 OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-231-7777 <br /> Vicki Harrison CONTACT EMAIL:vicki@sagehomesnw.com <br /> •;3 _7,,/, — � C� .BUILDING INFORMATION <br /> VALUATION OF WORK:$2,0 <br /> 85,979•b7P 7:i,,qt iigr ,o� ASSOCIATED LAND USE PROJECT#(if applicable):REVI122-001 <br /> (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) ` � <br /> EXISTING USE OF BUILDING:NA - V^' 0S - oc)d, <br /> PROPOSED USE OF BUILDING:Townhomes <br /> HEAT SOURCE: ❑Gas ©Electric ❑Other <br /> BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> TYPE OF PROJECT(check all that apply): ✓❑New Construction ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Change of Use <br /> ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure <br /> ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: <br /> DESCRIPTION OF WORK: <br /> Construct Building 7 Unit Townhouses <br /> • <br /> ('."Ate- 'le` '2.0-a°% 2.2 -60,I(tom 4%+s a1' <br /> L-tP-1 vVeif2Zo6.- Q -- C'Pi rr) <br /> 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 <br /> 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 <br /> Building Official b fare being authoriz er 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, <br /> and I comply wit the State Contr ors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> wed `//T.\ PERMIT# _ <br /> Owner/Authorized Agbnt Signature Date (Revised 4/21/2022) <br />