4703 GREELY ST 2025-09-30 - Laserfiche WebLink

® B%--.LDING PERMIT APPLICAI ,jN " •��, CITY OF EVERETT PERMIT SERVICES EV ERETT E 1 SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for rev WASNINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop I CONTACT INFORMATION:(P)425-257-8810 1(E)PermitServices@everettwa.gov I(W)everetbva.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET gree.j\� ,Sfyt,(, j PARCEL M --- — CITY ``/4 f �-�-� STATE •�� ZIP SUITEWNIT 1): FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short PlaUsubdivision: Lot No.: (attach copy of long legal descriptio CONTACT INFORMATION OWNER NAME: t 1,S 'OWNER MAILING ADDRESS: STREET L1,M-�) Gfee L4( -Skee4 CITY cue. STATE Wn, ZIP O` OWNER PHONE: OWNER EMAIL: , o,k po,(011 CONTRACTOR COMPANY NAME: _ANK C©t�js RacI-, f WA STATE CONTRACTOR LICENSE fl(REQUIRED):'Rt4KCOC(-7qe O CITY OF EVERETT BUSINESS LICENSE tt(REQUIRED)• CONTRACTOR ADDRESS: STREET 9/ GJa� e Nw SZ—<_ ctTrc>/rff\[Woo� fAN M &n c-IIG.C9*ATE (/I�i4 ZIP CONTRACTOR PHONE: p�bG a�p 05-1-( ICONTRACTOR EMAIL: PRIMARY CONTACT: OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: My QE TT BUILDING INFORMATION VALUATION OF WORK: S co ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevailing fa r et va ue of all labor,materials,and equipment needed to complete the work,whellier actually pakt or not.) EXISTING USE OF BUILDING: T r QU, - Prl1. <l 0'O1 f- PROPOSED USE OF BUILDING: T :S ' I rek'Kr""A oo/- ior.m HEAT SOURCE: ❑Gas electric ❑Other BUILDING TYPE:KSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction *ddition Remodel ❑Repair ❑T.I. ❑Change of Use ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pooi/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: , We- are no,,1> �O Sr 3 COO t:c�� TCli J. �� 5 ti (� r�C�v�f Ct'�l G�lpf• �j J� �'� �-+-tc -` l 1 115 yu t;1 �1� 1�G� s �� bet:11.0j5)L/5 . GJC u-2,'c r ACKNOWLEDGEMENT:1 have reviewed this application andiconfirm the information contained herein is true and correct. Work done pursuant to this permit must comply with current federal,state,and locollawv. 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.I am the owner,or I am authorized by the otvner of this property to perform the work for wvhich application is m and I comply with the State Contractors Laiv 18.27 RCW and 296.200A WAC. ✓ City of Everett Official Use Only PERMIT# 1,07 ��^� Owner/Authorized Agent Signaa 1 Date (Revised 412112022)