5707 EAST DR 2025-07-31 - Laserfiche WebLink

I BUILDING PERMIT APPLICATION 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: STREET 5-707 �a 5 f Or. PARCEL#: Q01•14717000Uo763 CITY f V t r"�1 STATE (,� K ZIP X2 Q SUITE/UNIT#: ) t+ 2 FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): (LLI�� TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: 7 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: p 1, (A S` ct r I C-y OWNER MAILING ADDRESS: STREET (2.3 �f5- At Way y N N . P. 3'47 (} CITY 5 e ?-fIe STATE (,at l ZIP l 125-- OWNER PHONE:2,04..3 (n"7 S I OWNER EMAIL: (VI,A e_ GH R 5 egff/e . ((Dv" CONTRACTOR COMPANY NAME: 6-rc e n Re 0(0 Pf,r WA STATE CONTRACTOR LICENSE#(REQUIRED6,r.eep,A( q2 ,4e CITY OF EVERETTItUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET 229 2,`, ?IL Ave. w. Q CITY g r Q,� STATE /`F ZIP -!$c 6 CONTRACTOR PHONE: _zn(o-3 a 7- 515^ I CONTRACTOR EMAIL: (/.A f-J ftc. q'�F)e C'opv. PRIMARY CONTACT: 0 OWNER (CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: ,,z. i . 3( ,7 5- 1 SC r; 4g 4 I per/ CONTACT EMAIL: 't A ��r 1.1k 5-Eck-4)e_ • Ce w\ BUILDING INFORMATION �(�� VALUATION OF WORK: $ /SV Oa) . ASSOCIATED LAND USE PROJECT#(if applicabl U \© U ‘-1 (Valuation shall include the prevailing fair market Salue of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING: u(�I e?j� ApR 2 6 2024 PROPOSED USE OF BUILDING: `/`` �.�. P I ex CITY OF EVERETT HEAT SOURCE: ❑Gas Electric ❑Other P�r(�1A SerV ceo BUILDING TYPE: ❑SFR ❑Townhouse ADuplex ❑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 pRe-roof ❑Exterior Alteration DTank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: Fire {-orie +he Ot;9hborS Garttige Sprecto to 5701 ENst De #t. wafter 4royv, 4.:rtvnen CaKsed- (1&""-,eS nota'o y ry-Pal✓' GltnwdhM5 (q) -trus5 rtPlacernerg' 255 of vI 'I r�Pair/rtPta.cev►ve„t, Dry w'-tit ihsu64,4:o11, roo-t- rtPuac,en,,,trt GA-vt . T'►r, t w a%wy 11r1'r s o.p p trim n:tY -to tra,w5f6rw► 60-tv% ga.ra I e 51? 5 t h-t o (.1 v;ti S pat-t 5. 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,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 with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only C �� PERMIT# , \2Y Owner/Authorized Agent Signature Date (Revised 4/21/2022)