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

BUILING PERMIT APPLICATION ECEOVE CITY OF EVERETT PERMIT SERVICES APR 10 2023 EVERETT SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requireme, d number of copies required leview, WASHINGTON then drop off completed application plus all required submittal documents to 320 t tY6 rop Box. CONTACT INFORMATION: (P) 425-257-8810 i (E) PermitServices@everettwa.goveve.„„ d (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET SM&_"62l`96+BWMukilteoBlvd PARCEL#: 401°0°0'84200"�00°°"000°"'°°0°°'a°°00"tB0°°0104 C,, Everett STATE WA ZIP 98203 SUITEfUNIT #: Ma— ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS 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 cm Everett SFATE WA Zip 98208 OWNER PHONE:425-609-8074 OWNER EMAIL: permits@sagehomesnw.com CONTRACTOR COMPANY NAME: Sage Homes Northwest, LLC WA STATE CONTRACTOR LICENSE #(REQUIRED): SAGEHHN932QM ICITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 61991 CONTRACTOR ADDRESS: STREET9505 19th Ave SE, Suite 118 cITM Everett STATE WA yp 98208 CONTRACTOR PHONE:425-609-8074 1CONTRACTOR 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: $2,383,976.08:8--01%r, 997, 01 1ASSOCIATED 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 ❑MulikFamily-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT (check all that apply): ZNew 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 BuildinCXIUnit Townhouses �ro2 t: vd btv�ae sA� ,��a.is A $4 ACKNOWLEDGEMENT.• I have reviewed this application and confirm the Information contained herein /s tme and correct. Work done pursuant to this permit must comply wlth 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. I am the owner, a I am authorized by the owner of this property to perform the work for which application Is made, and I comply wit State Contractors Law 18.27 RCWand 296.200A WAC. City of Everett Oflcial Use Only PERMIT # FP,3oq- OL�,E (Revised 4/21/2022)