Laserfiche WebLink
L JLDING PERMIT APPLICP' 'ON <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT ` <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)425-257-8810 J(E)PermitServices@everettwa.gov I (W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION` <br /> PROJECT SITE ADDRESS: STREET 6715 Highland Dr PARCEL#: 00531700301402 <br /> crry Everett STATE WA ZIP 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:VITALIY NOVAK <br /> OWNER MAILING ADDRESS: STREET 6715 Highland-Dr <br /> cj7y Everett STATE WA ZIP 98203 <br /> OWNER PHONE:425-772-8957 1OWNER EMAIL: Vltallynn8l p@gmall.com <br /> CONTRACTOR COMPANY NAME:Owner to act as Contractor <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: MAY <br /> _ I - A <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR i]OTHER(Please Specify) Designer-Marcorp Desi armVE <br /> pices <br /> CONTACT NAME: CONTACT PHONE: 701 660 9422 Permit be <br /> Mark Trembach CONTACT EMAIL: mark@marcorpdesign.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK:$ 16,000 ASSOCIATED LAND USE PROJECT#(if applicable): <br /> (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) <br /> EXISTING USE OF BUILDING: Residential single-family <br /> PROPOSED USE OF BUILDING:Residential single-family <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 ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: <br /> DESCRIPTION OF WORK: <br /> Bringing the existing rear deck into conformance with the zoning code and removing <br /> other non-conforming structures on the property. <br /> r�1oc�+i on a� N Z04S�- �Nd W 23�Z - opt <br /> 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 <br /> 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 <br /> 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, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> QCity of Everett Official Use Only <br /> PERMIT <br /> 4/30/2024 # U 21 <br /> Owner/Authorized Agent Signature Date (Revised 41212022) "I <br />