2413 CHESTNUT ST 2025-09-10 - Laserfiche WebLink

BUILDING PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL 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 1(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 241 3 Uhestnut St PARCEL#: 00467300500900 c,T•r Everett STATE VVA Z,P 962U1 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:Kitten Burgett OWNER MAILING ADDRESS: STREET 2413 Chestnut St ,, Everett 6T.ATE WA Z,P yt32U1 OWNER PHONEA25-971-3821 1OWNER EMAIL: CONTRACTOR COMPANY NAME:Greater Seattle Construction, LLC WA STATE CONTRACTOR LICENSE#(REQUIRED):GREATSC881 MR CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 52803 CONTRACTOR ADDRESS: STREET 14522 NE North Woodinville Way Ste 205 cm Woodinville STATE WA 7,P 98072 CONTRACTOR PHONE:425-949-5601 CONTRACTOR EMAIL:corey@greaterseattleconstruction.com PRIMARY CONTACT: ❑OWNER ©CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-979-7760 Corey Boyd CONTACT EMAIL:corey@greaterseattleconstruction.com BUILDING INFORMATION VALUATION OF WORK:$30,000 1ASSOCIATED LAND USE PROJECT#(if applicIftll (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or no EXISTING USE OF BUILDING:SFR PROPOSED USE OF BUILDING:SFR IN" I HEAT SOURCE: ©Gas ❑Electric ❑other CITY OF EVERETT BUILDING TYPE: ©SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial IfticarAmis TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑✓Repair ❑T.I. ❑Change of Use ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration 0-rank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: _ DESCRIPTION OF WORK: Repair due to a small localized fire at the front corner of the house, we have an engineered repair detail that accompanies this permit application. ACKNOWLEDGEMENT.I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply ivdh current federal,state.and local faty. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing horn the Railding Official before being authorized under any circumstance.I am the owner,or;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 16.27 RCW and 296.200A WAC. �- City of Everett Official Use Only /l1 -0 -- PERMIT# N�D� _ 7 ii Owner/Authorized Agent Signature / Date (Revised 412112022)