2313 COLUMBIA AVE B 2025-09-10 - Laserfiche WebLink

BU' DING PERMIT APPLICATI'-- N 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 requirod 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 2313 Columbia ave PARCEL#: clTy everett STATE wa ZIP 98203 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) CONTACT INFORMATION OWNER NAME:Jeffer Kildare OWNER MAILING ADDRESS: STREET 2313 Columbia ave CITY everett STATE wa zIP 98203 OWNER PHONE:253-508-1763 OWNER EMAIL: jeffropk@yahoo.COm CONTRACTOR COMPANY NAME:Jeffery Kildare WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: sTREET2313 Columbia ave CITY everett STATE wa zIP 98203 CONTRACTOR PHONE:253-508-1 763 1CONTRACTOR EMAIL:jeffropk@yahoo.Com PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:253-508-1763 Jeffery Kildare CONTACT EMAIL:jeffropk@yahoo.com BUILDING INFORMATION VALUATION OF WORK: $30,0 0 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 13UILDING:Shed PROPOSED USE OF BUILDING:DADU HEAT SOURCE: []Gas ❑✓Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑✓ADU ❑Multi-Family-It 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) ❑Ot arl: DESCRIPTION OF WORK: O D IE�[E 0 V �..teea�..dauun--excistin shed and build a new u _ 1 ,. AUG 3 0 2022 CITY OF EVERET-r Permit Services 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.1 am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and 1 comply with the State Contractors Law 18.27 RCW arid 296.200A WAC. City of Everett Official Use Only 08/24/2022 Ow er or a Ag nt Signature Date ( evf ed-4�2j/2p22� O�