1013 RUCKER AVE 2025-08-20 - Laserfiche WebLink

B`,LDING PERMIT APPLICAI .jN 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)425-257-8810 1(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1013 Rucker Ave PARCEL#: 00385421500900 Everett CITY E STATE wa ZIP 98201 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plattsubdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Tyler Levin OWNER MAILING ADDRESS: STREET 1013 Rucker Ave Everett crrY STATE wa ZIP 98201 OWNER PHONE:425-870-9023 OWNER EMAIL: tlevin40@yahoo.com CONTRACTOR COMPANY NAME: WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: El OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-870-9023 Tyler Levin CONTACT EMAIL:425-870-9023 BUILDING INFORMATION VALUATION OF WORK:$4 ASSOCIATED LAND USE PROJECT#(if applicable): (valuation shall include the prey (ling fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not) EXISTING USE OF BUILDING:Garage PROPOSED USE OF BUILDING:Garage HEAT SOURCE. ❑Gas ❑Electric ❑✓Other MIA BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑✓Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair CT.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: enlarge the footprint of the existing garage pad and rebuild new garage on new pad_ D EVEOVE DZMUl 004 AUG 10 2023 CITY OF FVFRFTT —j c#Q L_ ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursdartClb'thlS t e}h ,t kA§1y 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 thelState Contractors Law 18.27 RCW and 296.200A WAC. / �City OF Everett Official Use Only 5 /7ZZ�3 PERMIT# V�J 010 Owner/Au rized Agent Signature Dat (Revised 412112022)