5801 SEAHURST AVE 2025-12-12 - Laserfiche WebLink

BUILDING PERMIT APPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES SUBMITTAL INSTRUCTIONS:See applicable Submittal checklist for submittal requirements and number of copies required for review, WASH1110TOr1 then drop off completed applicalfott plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION:(P)425-257-8810 1(E)PermilSelvices@everett%va.gov I(W)everethva.gov/permits (Blue or Black Ink Oltly Please) Q1 PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET9oahursl Ave PARCEL It; PORTION OF 00436800004700 CITY Everett STATE WA Zip SB203 SUITEIUNIT FLOOR il: ADDITIONAL LOCATION INFORMATION(if applicable): TENANTIBUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdlvision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME;Robinelt Brothers,LLC OWNER MAILING ADDRESS: STREET 116 Avenue C cny Snohomish STATE WA ZtP 99250 OWNER PHONE:425-490-2205 OWNER EMAIL: Sarah@robinetthomes.com CONTRACTOR COMPANY NAME:Robinelt Brothers Construction, LLC WA STATE CONTRACTOR LICENSE Ii(REQUIREO):ROBINBC821Q1 CITY Of EVERETT BUSINESS LICENSE//(REQUIRED): CONTRACTOR ADDRESS: smEEr 116 Avenue C ciTr Snohomish STATE WA ZIP 98290 CONTRACTOR PHONE:425-490-2205 CONTRACTOR EMAIL:sarah@robinetthomes.com PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-490-2205 Sarah U p l i n IY CONTACT EMAIL:sarah@robinetthomes.coin BUILDING INFORMATION VALUATION OF WOR}(; 450 o S30 g� ASSOCIATED LAND USE PROJECT If a plicable):SS19-002&REVI17-027 (Valuation shallindude the proval n Vmarkot value of all laeo,materials,and equipmontneeded to eomplato the work.whothorsctualty paid ornot.) EXISTING USE OF BUIL ING: PROPOSED USE OF BUILDING: HEAT SOURCE: ❑Gas ❑✓Electric ❑Other BUILDING TYPE: ©SFR []Townhouse ❑DLlplex ❑ADU ❑Multi-Famlly-ft Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ENew 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: construction of single family residence ACKNOWLEDGEMENT.I have reviewed this application and confirm Ilia tnrormation contained heroin Is trio and correcl.Work dono pursuant to this permit must comply with current federal,state,and local law.The granting of a permit only authorizes approved work and no dovlallons therefrom.Deviations rnust first be authorkad in wiling from the Building O/Actal before boing authorized under any circumstonco.I am the owner,or I am authorized by Ilia owner of this property to pariorm the work for which application/s made, and I comply with the Slate Contractors Law 18.27 RCW and 296.200A WAC. City of Everett 011lclaf Use Only PERMIT 11 � .723 6�310� G55 Ov to uXriz.dA�gSlgn.wr. Dale (Revised 4/21/2027)