1711 ENGLAND AVE 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 v W45HINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Sire 2l loeo.ntake Dro x. CONTACT INFORMATION: (P)425-257-8810 1(E)PermitServices@everettwa.govil(W eveii a. o Ip s (Blue or Black Ink Only Please) PROJECT SITE INFORMATION I PROJECT SITE ADDRESS: STREET 1711 England Ave PARCEL#: 0054940f0p9 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: QUEENANNEA CTOE ERETTfiLK010C E,M Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Larry and Marilyn Stayner OWNER MAILING ADDRESS: STREET See project address CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME:R&R Foundation Specialist WA STATE CONTRACTOR LICENSE#(REQUIRED):RRFOUFS829DA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET 1611 E Marine View Dr cITY Everett STATE WA ZIP 98294 CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-760-5077xl07 Alesha Stickles CONTACT EMAIL:alesha@rrspecialist.net BUILDING INFORMATION VALUATION OF WORK:$$27,495.00 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:SFR PROPOSED USE OF BUILDING:no changes HEAT SOURCE: ❑Gas ❑✓Electric ❑Other BUILDING TYPE: 7:1SFR ❑Townhouse ❑Duplex ❑ADU [7]Multi-Family-#Units: []Commercial ❑Accessory 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: Installation of 13 helical piles to stabilize the foundation after settling 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 1 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 12-26-23 PERMIT# _ : c) Owner/Authorized Agent Signature Date (Revised 412112022)