8909 CORBIN DR 2025-09-10 - Laserfiche WebLink

jp IEQL�1E a VE JAN 2 2 2123 � BUILDING PERMIT APPLICA CITY OF EVERETT TION Permit Services EVERETT CITY OF EVERETT PERMIT SERVICES n f�p au.�for re+.eN SUBMITTAL INSTRUCTIONS:See applicable submittal check.ist for subm ttal requirements and number o copies fe WASHINGTON then drop off completed application plus al required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box CONTACT INFORMATION: p I y I(W) gov/perrrits ATION:(P)425.257.8810 (E)evererieps�deverettwa o•+ J everettrra 9 p (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 8909 CORBIN DRIVE PARCEL#: 00541400000700 CITY Everett STATE WA 29 98204 SUITElUNIT M FLOOR#: ADDITIONAL LOCATION INFORMATION(if applicable): TENANT/BUSINESS NAME(if non-residential)- LEGAL DESCRIPTION for new construction: Short Plat/subdivision: patricia manor 2 BLK Lot 17 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:DANIEL TAEMENESO OWNER MAILING ADDRESS: STREET 8909 CORBIN DRIVE 98204 CITY EVERETT STATE WAzP OWNER PHONE:206-8832156 owNER EMAIL: DANIELTAEMENSO@YAHOO.COM CONTRACTOR COMPANY NAME: WA STATE CONTRACTOR LICENSE#{REQUIRED): CfTY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET STATE ZIP cm CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-883-2156 Daniel Tameneso CONTACT EMAIL:danieltaemenso@yahoo.com BUILDING INFORMATION VALUATION OF WORK:sN/A ASSOCIATED LAND USE PROJECT#(if applicable): (Va!uaoon snai Inciude the prevailing fart market value of a6 labor,matenals,antl equrymenl needed to complete the work.whether acwalry pain or not) EXISTING USE OF BUILDING: SFR PROPOSED USE OF BUILDING:AFH HEAT SOURCE: ❑✓Gas ❑Electric ❑Other BUILDING TYPE: ❑r 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 El Exterior Alteration []Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other. DESCRIPTION OF WORK:ATT: Cindy Bergsma Already approved and complted project under permit#B2201-038,just under new woner. Per Ms. Cindy's request to resubmit a new application and a WABO floor plan, attached with this application. ACKNOWLEDGEMENT.I have reviewed this application and confirm the infomlation contained herein is We and correct.Work done pursuant to this permit must comply with current federal,stale,and local law.The granting dire 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 �7 l J01 23 Owner/Authorized Agent Signature Date (Revised 2/8/2021)