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

Nom BUILDING PERMIT APPLICATION V 1©1E QVE CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirement num1 pf cp s ed for i w, WASHI NGTON then drop off completed application plus all required submittal documents to 32 dar greet 2rfd lo6�ke D ox. CONTACT INFORMATION: (P)425-257-8810 I(E)PermitServices@everettwa.gov I erttw ea.gov/permits (Blue or Black Ink Only Please) 30 PROJECT SITE INFORMATION � �( Or CVERET Pormit Ecrv,.,e PROJECT SITE ADDRESS: STREET 374 7$2l364&W Mukilteo Blvd PARCEL#: 00133800004a02.00433600004700,00433600004600.00433e00004e00 cry Everett STATE WA Zip 98203 SUITE/UNIT#: �'aYlr fi= 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 tiny 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 cm, 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 7— 0 BUILDING INFORMATION VALUATION OF WORK:$2,383,976.0898'- i7 CY ASSOCIATED LAND USE PROJECT#(if applicable):REVI122-001 (Valuation shall include the prevailing fair market value of alt tabor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING:NA �VJ' J•� m 0A9N PROPOSED USE OF BUILDING:Townhomes HEAT SOURCE: ❑Gas ©Electric ❑Other BUILDING TYPE: ❑SFR OTownhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all 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 ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: Construct Buildini, Unit Townhouses jl02C3 V. AA 0 sue, w +• �!�. ass.. 2 vtW22 -opt 1D 'R`a.ti.,"; w2?4 6C o 23- 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 f /' PERMIT# (-27o l (� Ownhutho d Agent Signat a ate (Revised 4/21/2022)