1424 MAPLE ST 2025-09-26 - Laserfiche WebLink

B� _DING PERMIT APPLICAT )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 required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION: (P)425.257.8810 i(E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1424 Maple St PARCEL#: 004387-280-021-00 CITY Everett STATE wa ZIP 98201 SUITE/UNIT#: FLOOR#: 1 ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME (if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Everett Div T Plat of elk 280 D-oo Lot No.: 21 a S1/2 Lot 22 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Sandvik , Arne R/Sandvik , Jessie M OWNER MAILING ADDRESS: STREET 1424 Maple St, , WA 98201 CITY Everett STATE wa ZIP 98201 OWNER PHONE:425.737.2763 OWNER EMAIL: arner737@gmall.com CONTRACTOR COMPANY NAME:N/A WA STATE CONTRACTOR LICENSE#(REQUIRED):NIA ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): N/A CONTRACTOR ADDRESS: sTREETN/A ,,Ty N/A STATE N/A ZIP N/A CONTRACTOR PHONE:N/A CONTRACTOR EMAIL:N/A PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Consultant CONTACT NAME: CONTACT PHONE:206.399.0298 Eduardo Piedra CONTACT EMAIL:piedra.eq@gmail.com BUILDING INFORMATION VALUATION OF OR : $3,000 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:ReSldentlal PROPOSED USE OF BUILDING:Residential use 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:Removal of the suspended T-bar ceiling and installation of CAN-lights on the original existing ceiling. There was no Alterations to the structure nor walls. The removed ceiling was suspended from the original ceiling structure. Original drywall ceiling remains there. Thank you 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.if am the owner,or I am authorized by the owner of this property to perform the work for whit lication is made, and l comply with the State •ontractors Law 18.27 RCW and 296.200A WAC. i oQrett O nl V�Z* AQ_,(D Owner/Authorized Agent Signature Date (Revised 21812021)