611 ALVERSON BLVD 2025-07-15 - Laserfiche WebLink

BUILDING PERMIT APPLICATIOiv 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 1(E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET p� f L V l�` 9 PARCEL M /00458813605000 �/ CITY a C-p STATE ,,r ) ZIP !7`0. SUITE/UNIT M FLOOR M ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Dan Hansen OWNER MAILING ADDRESS: STREET 611 Alverson Blvd gay Everett STATE WA Z,P 98201 OWNER PHONE:425.232.3471 1OWNER EMAIL: danielhansen21 @gmail.com CONTRACTOR COMPANY NAME:OWNER WA STATE CONTRACTOR LICENSE#(REQUIRED):NA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): NA CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: El OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: wv-o CONTACT EMAIL: don 10 60 &a) BUILDING INFORMATION VALUATION OF WORK:$ OX 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:primary residence PROPOSED USE OF BUILDING:primary residence, no change HEAT SOURCE: ❑✓Gas ❑Electric ❑Other BUILDING TYPE: ❑✓SFR ❑Townhouse ❑Duplex ❑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 ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK:Reconfiguration of the existing basement level and addition of new window wells. Basement to contain 2 bedrooms, 2 bathrooms, Family room, Office, Rec room, Laundry room, and Mechanical room. D ECEOVE NOV 01 2023 ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct.Work dbrf� rSua7�11�(�i fjv�gi= QQe��rust comply with current federal,state,and local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations111;1'rl;TbkTaL31zl/rl ralV ling from the Building Official before being authorized under any circumstance.1 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 • PERMIT#10/20/2023 C7 00 Owner/Authorized Agent Signature Date (Revised 21812021)