8720 9TH AVE SE 2021-11-17 - Laserfiche WebLink

Nom !ILDING PERMIT APPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES 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 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 8720 9TH AVE SE PARCEL#: 00402500001700 CITY EVERETT STATE WA ZIP 98208 SUITE/UNIT#: FLOOR#: 1 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: DAGNACHEW KASAHUN&TSION TAMRAT OWNER MAILING ADDRESS: STREET 7007 BEVERLY BLVD. CITY EVERETT STATE WA ZIP OWNER PHONE: 206-981-1629 OWNER EMAIL: dankasahun@yahoo.com CONTRACTOR COMPANY NAME: HOMEOWNER WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) DESIGNER CONTACT NAME: CONTACT PHONE: 206-6832395 CARMELO N LAVISTE CONTACT EMAIL: cnldesign.drafting@gmail.com BUILDING INFORMATION VALUATION OF WORK:$ 5000.00 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 residence PROPOSED USE OF BUILDING: Adult-Family Home HEAT SOURCE: ✓❑Gas ❑Electric ❑Other BUILDING TYPE: ❑✓SFR ❑Townhouse ❑Duplex ❑ADU ❑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: Install new exterior ramp and grab bars in the bathroom. 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. City of Everett Official Use Only PERMIT# 2, 10(0 10( _ 0 ! 61 Carmelo Laviste o�aneny:�q�aa tv ca�eio�emsa 6 Dale:zozi ao.za aa:m:ai-0roo� 6-28-2021 Owner/Authorized Agent Signature Date (Revised 2/8/2021) 1 Z