7211 BEVERLY BLVD 2025-07-14 - Laserfiche WebLink

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, WASH I NGTON 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 1(E)PermitServices@evereltwa.gov I(W)evereltwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 7211 Beverly Blvd PARCEL#: 00539900101402 CITY Everett STATE WA zT, 98203 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): PARK CITY ADD TO BEVERLY PARK BLK 001 D-02-LOT 14 LESS E LEGAL DESCRIPTION for new construction: Short Plat subdivision. Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:MICHAEL DEFURIA OWNER MAILING ADDRESS: STREET SEE PROJECT CITY STATE ZIP OWNER PHONE:425-760-5077 OWNER EMAIL: CONTRACTOR COMPANY NAME:R&R FOUNDATION SPECIALIST WA STATE CONTRACTOR LICENSE#(REQUIRED):RRFOUFS829DA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET 1611 E MARINE VIEW DR cny EVERETT STATE WA zIP 98201 CONTRACTOR PHONE:425-760-5077X107 CONTRACTOR EMAIL:ALESHA@RRSPECIALIST.NET PRIMARY CONTACT: ❑OWNER I4 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-760-5077X107 ALESHA STICKLES CONTACT EMAIL:ALESHA@RRSPECIALIST.NET BUILDING INFORMATION VALUATION OF WORK: $14,000 ASSOCIATED LAND USE PROJECT#(if applicable): (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:NO CHANGES PROPOSED USE OF BUILDING: HEAT SOURCE: [-]Gas []Electric []Other BUILDING TYPE: OSFR ❑Townhouse []Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition []Remodel F,/]Repair ❑T.I. ❑Change of Use []Modular ❑Portable URe-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure FIFence over 7ft high RRackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: Installation of 5 helicals to stabilize the SFR foundation after settling ACKNOWLEDGEMENT:1 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.1 am the owner,or/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 WAG City of Everett Official Use Only 8/16/23 PERMIT# r� �^ O " Owner/Authorized Agent Signature Date (Revised 412 112 02 2)