325 109TH PL SE 2023-06-27 - Laserfiche WebLink

INN BSDING PERMIT APPLICAIN 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 325 109TH PL. SE PARCEL#: 00761600000300 CITY EVERETT STATE WA ZIP 98208 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: TWIN CEDARS BLK Lot No.:3 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Mulatu Yirba/Beyene & Haileyesus Aynalem OWNER MAILING ADDRESS: STREET 325 109TH PL. SE CITY EVERETT STATE WA ZIP 98208 OWNER PHONE:206.697.998/811OR 206.234.4614 OWNER EMAIL: MULATUSH@GMAIL.COM CONTRACTOR COMPANY NAME:OWNER 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) ARCH. DESIGNER CONTACT NAME: CONTACT PHONE:206.775.1471 ERM IAS HAI LU CONTACT EMAIL:ERMIAS@EMDDESIGNPRACTICE.COM BUILDING INFORMATION VALUATION OF WORK: $50,000.00 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:AFH 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:Interior work: To convert an existing family room to bedrooms . To divide and remodel the current master bedroom by incorporating the existing laundry room, master closet, master bathroom & main bathroom to create a new full bathroom and bedrooms and altimetry creates a direct access entry to the garage. Lastly to create a new bathroom in the exits bedroom Exterior work: Ramp for admission. 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 bein 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 compl with the State o tractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only I lu� 11, �� PERMIT# 8 7-0 I D 4+ Owner/ uthoriz gent Signature Date (Revised 2/8/2021) '