3201 56TH ST SW 2023-05-23 - Laserfiche WebLink

LILO BUILDING PERMIT APPLICATI'N CITY OF EVERETT PERMIT SERVICES EVERETTSUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, WASHINGTON 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 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3201 56TH STREET SW PARCEL#: 00396700400600 CITY EVERETT STATE WA ZIP 98203 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:CHAD AND WHITNEY MAYER OWNER MAILING ADDRESS: STREET 3201 56TH STREET SW e„Y EVERETT STATE WA zip 98203 OWNER PHONE:206.755.7660 OWNER EMAIL: CHDMAYER@GMAIL.COM CONTRACTOR COMPANY NAME:TBD J ��t CIA,Vrft (CV1/A,Off( IL/Vi WA STATE CONTRACTOR LICENSE#(REQUIRED): YV Q 1,p 6'20961ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET L.i(J 11))^��Q " CITY (Y J4 f/Y li�6/ STATE • ZIP Y 0 CONTRACTOR PHONE: ' 2Z�`11 CONTRACTOR EMAIL: PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) ARCHITECT CONTACT NAME: CONTACT PHONE:2O6.931.0990 G A R I N Sc H E N K CONTACT EMAIL:GARIN@ARCHSTUDIOEVERETT.COM BUILDING INFORMATION VALUATION OF WORK:$90,000.00 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:SINGLE FAMILY RESIDENTIAL PROPOSED USE OF BUILDING:SINGLE FAMILY RESIDENTIAL HEAT SOURCE: ❑Gas ❑✓Electric ElOther BUILDING TYPE: L1SFR ❑Townhouse ❑Duplex EIADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑✓Addition ❑Remodel ❑Repair ❑T.I. ❑Change of Use ❑Modular EPortable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ERackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK:593 SF ADDITION TO AN EXISTING SFR, ALONG NORTH/NORTHEAST SIDE OF HOUSE. REMOVING PORTIONS EXISTING DRIVE TO REMAIN UNDER 200 SF NET NEW IMPERVIOUS. 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 l 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. City of Everett Official Use Only PERMIT# auw Ia.1.�t g -2-1 (o -NT Owner/Au orized Agent Ignature Date (Revised 2/8/2021)