3620 W MUKILTEO BLVD G HARBORS EDGE TOWNHOMES 2025-09-22

LS�LS�V�n BUILDING PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES APR 10 2023 U EVERETT SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requireme d tn�uym�ber of copies required f evlew, WASHINGTON then drop off completed application plus all required submittal documents to 3200 C � �I RrRalteprop Box. CONTACT INFORMATION: (P) 425-257-8810 1 (E) PermitServices@everettwa.gov 1 eve ov! ermi (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STaEET3?4e197CPt8B16WMukilteoBlvd PARCEL#: clTv Everett STATE WA ZIp 98203 SUITEWNIT #: MI l G- ADDITIONAL LOCATION INFORMATION (if applicable): TENANTIBUSINESS NAME (if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: See attached Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Sage Homes Northwest, LLC OWNER MAILING ADDRESS: STREET 9505 19th Ave SE, Suite 118 CITY Everett STATE WA zIa 98208 OWNER PHONE: 425-609-8074 1OWNER EMAIL: permits@sagehomesnw.Com CONTRACTOR COMPANY NAME: Sage Homes Northwest, LLC WA STATE CONTRACTOR LICENSE #(REQUIRED): SAGEHHN932QM CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 61991 CONTRACTOR ADDRESS: STREE 9505 19th Ave SE, Suite 118 cm, Everett STATE WA z.. 98208 CONTRACTOR PHONE: 425-609-8074 CONTRACTOR EMAIL: Vicki@sagehomesnw.Com PRIMARY CONTACT: ❑ OWNER ©CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Vicki Harrison CONTACT PHONE: 425-231-7777 1CONTACT EMAIL: vicki@sagehomesnw.com BUILDING INFORMATION VALUATION OF WORK: $2,383,976.08:8s 7 99i, Of ASSOCIATED LAND USE PROJECT # (if applicable): REVII22-001 (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: NA PROPOSED USE OF BUILDING: TOwnhomes HEAT SOURCE: ❑Gas ©Electric ❑Other BUILDING TYPE: ❑SFR OTownhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT (check all that apply) : ONew 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: Construct Buildin �_ _, Unit Townhouses 3%y0 W{ ,AA 64L yto 'S �•s+t+� 't�.a�. REvtt2y-cot a 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 1mm the Building OR7cial before being authorfmd under any circumstance. I am the owner, or I am authorized by the owner of this property to perform the work for which applkation Is made, and I comply 0 State Contractors Law 16.27 RCW and 296.200A WAC. City of Everett O1/Iclal Use Only I PERMIT # s 0�f — Own 1Autho' dAgent Signat ate (Revised 42112022)