2216 GRAND AVE 2025-09-11 - Laserfiche WebLink

Bl1" ,DING PERMIT APPLICAT►nN 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)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2216 Grand Ave PARCEL#: 00439148302500 clTv Everett STATE wa ZIP 98201 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANTIBUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Aaron Sanchez OWNER MAILING ADDRESS: STREET 2216 Grand Ave CITY Everett STATE Wa zIP 98201 OWNER PHONE: OWNER EMAIL: aaronhome4u@gmail.com CONTRACTOR COMPANY NAME:RAM Jack West WA STATE CONTRACTOR LICENSE#(REQUIRED):RAMJAW-852PW CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 57547 CONTRACTOR ADDRESS: STREET Po Box 11701 CITY Eugene STATE Or ZIP 97440 CONTRACTOR PHONE:541-520-3690 CONTRACTOR EMAIL:permitswa@ramjackwest PRIMARY CONTACT: ❑OWNER ©CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:541-520-3690 N i kkie Grissom CONTACT EMAIL:nikkie@ramjackwest.com BUILDING INFORMATION VALUATION OF WORK: $17,353.21 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:Residential PROPOSED USE OF BUILDING: 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: Voluntary repair to existing foundation 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 8/11/2022 7 27 n _ O S Owner/Authorized Agent Signature Date (Revised 412112022)