7411 UPPER RIDGE RD 2023-06-23 - Laserfiche WebLink

BSDING PERMIT APPLICA•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) PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 7411 UPPER RIDGE RD PARCEL#: 00792400003800 CITY EVERETT STATE WA ZIP 98203-4904 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:ABEBE SIMEGN GABEBE FIKRTE G OWNER MAILING ADDRESS: STREET 7411 UPPER RIDGE RD _ CITY EVERETT STATE WA ZIP 98203-4904 OWNER PHONE:2066615979 OWNER EMAIL: fikrteabebe@yahoo.com CONTRACTOR COMPANY NAME:TBD ( o"Vls 01') /A I, WA STATE CONTRACTOR LICENSE#(REQUIRED)5J GCC(J C N NA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 6 i,455 CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER (Please Specify) Designer CONTACT NAME: J�E' CONTACT PHONE:2062407006 YCONTACT EMAIL:joeydeSlgnLLC@gmaiI.com BUILDING INFORMATION VALUATION OF WORK: $15,000.00 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:SFR PROPOSED USE OF BUILDING:ADULT FAMILY HOME HEAT SOURCE: I]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 ETA. ❑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: Kelocate washer and dryer to garage, new layout of existing bathroom, relocate bedrom close+. Add ramp and railing. 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 �7/8/22 PERMIT# 3 2 Zv — Cs 3 Owner/Authorized Agent Signature Date (Revised 4/21/2022) ►/ Z