2115 15TH ST 2025-10-27 - Laserfiche WebLink

BUIV`_,AG PERMIT APPLICATION .. EVERETT 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) 425.257.88101(E) everetteps(cD-everettwa.gov I (W) everettwa.aov/permits (Blue or Black lnk;Only Please) `PROJECT Sft'INFORMATION PROJECT SITE ADDRESS: STREET 2115 15TH STREET PARCEL #: 00475428701703 cny EVERETT STATE WA ZIP 98201 SUITE/UNIT #: FLOOR #: 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) r -`CONTACT INFORMATION OWNER NAME: JOSE CONTRERAS OWNER MAILING ADDRESS: STREET 2115 15TH STREET crn, EVERETT STATE WA z.P 98201 OWNER PHONE: (425) 328-0715 OWNER EMAIL: jose.contreras@zf.com CONTRACTOR COMPANY NAME: B&G GENERAL CONTRACTOR LLC A STATE CONTRACTOR LICENSE #(REQUIRED): BGGENGC796QS IciTY OF EVERETT BUSINESS LICENSE #(REQUIRED): 64537 CONTRACTOR ADDRESS: STREET 710147TH STREET SW crry LYNNWOOD STATE WASHINGTON ZIP 98087 CONTRACTOR PHONE: (206) 472-9544 CONTRACTOR EMAIL: bandggeneralcontractor@gmail.com PRIMARY CONTACT: ❑� OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: JOSE CONTRERAS CONTACT PHONE: (425)328-0715 ) CONTACT EMAIL: jose.contreras@zf.com BUILDING INFORMATLON VALUATION OF WORK: $ ASSOCIATED LAND USE PROJECT # (if applicable): N/A (Valuation shall include the prevail i it market value of a labor, materials, and equipment needed to complete the work, whether actually paid or not.) EXISTING USE OF BUILDING: SFR PROPOSED USE OF BUILDING: SFR HEAT SOURCE: ❑Gas ✓❑Electric ❑Other BUILDING TYPE: ❑✓ SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT (check aft 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: Adding a deck to front of SFR per attached hand -drawn schematics. 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. l am the owner, or 1 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. n City of Everett Official Use Only cl-ld 712,122 PERMIT # OftedAuttforized Agent Signature ! D to (Revised 21812021)