4326 CRESCENT AVE 2025-09-26 - Laserfiche WebLink

BOIL 'NG PERMIT APPLICATIO' 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 4326 CRESCENT AVE PARCEL#: 00605501500600 aTY EVERETT STATE WA z,P 98203 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: ACRE shortplat Lot No.: LOT 6-N5 FT OF LOT 7 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:AMA VENTURES LLC OWNER MAILING ADDRESS: STREET PO BOX 271 CITY LAKE STEVENS STATE WA ZIP 98258 OWNER PHONE:42550 82465 1OWNER EMAIL: pavelgpa@gmaii.com CONTRACTOR COMPANY NAME: GPA ENTERPRISES INC WA STATE CONTRACTOR LICENSE#(REQUIRED):GPAENEI853D5 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET PO BOX 271 C,T, LAKE STEVENS STATE WA ZIP 98258 CONTRACTOR PHONE:4255082465 1CONTRACTOR EMAIL:pavelgpa@gmaii.com PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING INFORMATION VALUATION OF WORK:$281,866 1ASSOCIATED LAND USE PROJECT#(if applicable):PW2103-018 (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:none PROPOSED USE OF BUILDING:residential HEAT SOURCE: ❑Gas E Electric ❑Other BUILDING TYPE: ❑✓SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): E 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: Proposed 3 bedroom SFR ; Septic connects to public sewer Impervious quantities(est): +/- 1240 sq ft SFR(eve line) Reference R�3�001 +/-are sq ft driveway PDJ^E _� Cleared Area=+/- 18,200 sq ft f(V>''' \\v//Excavation QTY(excavation+fill)_ House=+/-46 yds Driveway=+/-20 yds D 901 LLLL -- ACKNOWLEDGEMENT:I have reviewed this application and confiCY rm the information contained herein is true and correct. o( �{o�ne ursuant 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.DevfafiolSs i �t fi&)06&� dTh writing from the Building Official before being authorized under any circumstance. I am the owner.or 1 am authorized by the owner of this prop�P fr(Fn'SttiT7(66r�which application is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. JJ CC�1 VV�I l(.:tr City of Everett Official Use Only PERMIT# Owner/Author ed Agent Signature Date (Revised 412112022)