1018 91ST PL SW 2025-07-21 - Laserfiche WebLink

rw BUI )ING PERMIT APPLICATION EV IyPc'ET T CITY OF EVERETT PERMIT SERVICES 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) 425-267.8810 i (E) PermilServices@everettwa.gov I (W) evereltwa.gov/permits (Lilua or slack Ink Only Please) -' - -- PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1018 91ST PL SW PARCEL #: 00703500001800 cny Everett STATE WA zip 98204 gUITEIUNIT #: FLOOR #: ADDITIONAL LOCATION INFORMATION (if applicable): -rENANTIBUSINESS NAME (if non-residential): L EGAL DESCRIPTION for new construction: Short Plattsubdlvlslon: SUNDANCE BILK 000 D-00 Lot No.: 18 (attach copy of long legal description) CONTACT INFORMATION pWNERNAME: John Farris OWNER MAILING ADDRESS: STREET 1018 91ST PL SW CITY Everett STATE Wa zip 98204.2691 OWNER PHONE: 425-299-6768 1OWNER EMAIL: JJgleeneyz@fl-Ontler.001T) CONTRACTOR COMPANY NAME: WA STATE CONTRACTOR LICENSE #(REQUIRED): t A N DP C i ] 7f 61 TY OF EVERETT BUSINESS LICENSE O(REQUI ED): 29- CONTRACTOR ADDRESS: STREET, GUY STATE 1 zip 98223 CONTRACTOR PHONE:A _ - _ CONTRACTOR EMAIL: PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑✓ OTHER (Please Specify) Consultant CONTACT NAME: Fredrick Jordan CONTACT PHONE:253-691-8272 CONTACT EMAIL: fjordan@landandpermits. corn BUILDING INFORMATION VALUATION OF WOKqulpmenl ,ceded to compiole )USE aNallon shainclude he e drall a or, materials, and a P, eR/nOolJheEr CedTu#ally pfaaidp able :s alfg"�not.) EXISTING USE OF BUILDING:SFR PROPOSED USE OF BUILDING: SFR HEAT SOURCE: ❑Gas ❑✓ Electric ❑Other BUILDING TYPE: ❑✓ SFR []Townhouse ODuplex ❑ADU ❑Mulfi-Family - It Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT (checkoff that apply): ✓ONew 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 ❑PoollHot Tub ❑Tank (above ground) ❑Ocher: DESCRIPTION OF WORK: New COntruCtlOn SFR ACKNOWLEDGEMENT: I have reviewed this application and confirm the information contained hereln Is true and correct, Work done pursuout to this permit must comply wish current federal, state, and local law. The granting of a permit only authorizes approved work and no deviations therefrom. Oevlatlons must first be authorized In writing from One Building Official before being authorized under any circumstance. I am flu, owner, or I am authorized by the owner of this property to perform the work for which application is made, and I comply with his State Contraors Law 18, 27 8CW and 206.200A WAC. City of Everett Official Use Only PERMIT # (Revised 412112022)