1507 RUCKER AVE 2025-10-06 - Laserfiche WebLink

BUILDING PERMIT APPLICATIuN EVERETT WASHINGTON CITY OF EVERETT PERMIT SERVICES SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, 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 1 (E) everetteps@everettwa.gov I (W) everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1507 Rucker Ave PARCEL #: 00475330700300 CITY Everett STATE WA zIP 98201 SUITE/UNIT #: FLOOR #: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME (if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Shirley Whitkanack OWNER MAILING ADDRESS: STREET 1507 Rucker Ave CITY Everett STATE WA ZIp 98201 OWNER PHONE: 206-340-8259 OWNER EMAIL: sfwhitkanack@gmail.com CONTRACTOR COMPANY NAME: Carriage Houses Northwest WA STATE CONTRACTOR LICENSE #(REQUIRED): CC CARRIHN821 OE CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 604-001-012 CONTRACTOR ADDRESS: ITREET4000 88th St NE C17y Marysville STATE WA ZIP 98270 CONTRACTOR PHONE: 2069101813 CONTRACTOR EMAIL: info@chnwbuilds.com PRIMARY CONTACT: ❑ OWNER ❑✓ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Micah Diamond CONTACT PHONE: 2143353990 CONTACT EMAIL: micand@chnwbuilds.com BUILDING INFORMATION VALUATION OF WORK: $ 50,000 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: Garage, vehicle, and tool storage PROPOSED USE OF BUILDING: Garage, vehicle, and tool storage HEAT SOURCE: []Gas ❑Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ❑Commercial IIAccessory 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: Re -build previously demoed garage structure to accommodate covered off street parking and storage of tools 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. I am the owner, or I am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. Micah Diamond - Ddg"lly ucrod by MImb OWm d pelt n21AB.1512:51:0 47-07 Owner/Authorized Agent Signature Date City of Everett Official Use Only P IT r (Revise 2/8/2021) 1-�\