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BUILDING PERMIT APPLICATION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, <br /> WASHINGTON Then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box <br /> CONTACT INFORMATION:(P)425-257-88101(E)PertnitServlces@everettwa.gov I(W)everettwa gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 8109 Florida Dr PARCEL#: 00393900SM401 <br /> cm Everett STATr WA rN> 98203 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (If applicable): <br /> TENANT/BUSINESS NAME(if non-residential): <br /> LEGAL DESCRIPTION for new construction. Short Plat/subdivision, Lot No (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Diego Felipe Saray and Kelly McDonald <br /> OWNER MAILING ADDRESS: 111e1T 14340 Addison St <br /> CRY Sherman Oaks stAII CA la 91423 <br /> OWNER PHONE:5163447621 OWNER EMAIL: fellpesarayoficial@gmall.com <br /> CONTRACTOR COMPANY NAME:Evolution Properties LLC <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):CC EVOLUP-835D4 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 67308 <br /> CONTRACTOR ADDRESS: sTRE,T 9820 NE 200TH ST <br /> cm Bothell ;TAtr WA ZIP98011 <br /> CONTRACTOR PHONE:206 550 0671 CONTRACTOR EMAIL: <br /> PRIMARY CONTACT: El OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:meganjenniferwilaby@gmail.com <br /> Megan Wilaby CONTACT EMAIL: 206 550 0671 <br /> BUILDING INFORMATION <br /> VALUATION OF WORK:$ ASSOCIATED LAND USE PROJECT#(if applicable): <br /> (valuation shall Indude lne prevailing far market value of all labor,materials,and equpment needed to complete the work whether aduatty pa Kl or not.) <br /> EXISTING USE OF BUILDING: <br /> PROPOSED USE OF BUILDING: <br /> HEAT SOURCE: ❑Gas ❑✓Electric ❑Other <br /> BUILDING TYPE: ❑✓SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ✓❑Remodel ❑Repair ❑T.I. ❑Change of Use <br /> ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure <br /> []Fence over 7ft high ❑RackStorage nPool/Hot Tub ❑Tank(above ground) ❑Other. <br /> DESCRIPTION OF WORK: INTERIOR REMODEL/ REBUILD EXTERIOR DECK <br /> AND PORCH <br /> ACKNOWLEDGEMENT I here mWooW 011r appicoWn and cw*yn the adurnlaborl contained herein Is true artd curre(Y Work dorw pursuant to this permit must cLm"Oy with <br /> cunent federal,state.and local few. TM grw*V of a pem1M citify mXwnles approved work and no deviation therefrom.L)ewatfons must hrst be auttwnzed in wnfatg from the <br /> Suddv►p OffieW belore bdwlg auftwzod under any arurmlttance I am the owner,or I am authonzed by the owner of this property to perlorm the work for which application Is made. <br /> and/comply with the State Contractors Law 18 27 RCW and 296 200A WAC <br /> City of Evdreft Official Usd Only <br /> 7/24/2024 PERMIT# B2401-001 <br /> Owner/Authored Agent Si ture Data (Revised 412112022) <br />