5110 W VIEW DR 2023-05-22 - Laserfiche WebLink

in BIDING 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 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 5110 West View Dr Everett PARCEL#: 00605800000100 CITY Everett STATE WA ZIP 98203 SUITE/UNIT#: FLOOR#: + — ADDITI NAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): N' %-t.7 l LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:DESTA YOHANNES & BEZU ABONESH W OWNER MAILING ADDRESS: STREET 5110 West View Dr Everett CITY Everett STATE WA ZIP 98203 OWNER PHONE:2067780683 OWNER EMAIL: ahbestcare©gmail.com CONTRACTOR COMPANY NAME:TXT, Cp Cv Ov�q� ' -,,_ WA STATE CONTRACTOR LICENSE#(REQUIRED) VERETT BUSINESS LICENSE#(REQUIRED) �� CCo&�l� (02c-F55 CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR !BOTHER(Please Specify) Designer CONTACT NAME:�O SO Perez CONTACT PHONE:2062407006 CONTACT EMAIL:draftnw@gmail.com (--- BUILDING INFORMATION VALUATION OF WORK $30,00 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prey ling fair ma et value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILD! , dult family home PROPOSED USE OF BUILDING:Adult family home HEAT SOURCE: ©Gas ❑Electric ❑Other BUILDING TYPE: EISFR ❑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: Add 1 bedroom 153 sf. 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 y circumstance.lam 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 La 8.27 RCW and 296.200A WAC. City of Everett Official Use Only -- P T# P #2/11/2022 OS a OwnerlAuthorized Agent Signature Date (Revised 2/8/2021) i Z