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<br /> sz BUILDING PERMIT APPLICATION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> EVERETTSUBMITTAL INSTRUCTIONS See a:': -at-e s... i .'f. • '^ 5... ,,,3 'eq..'e-nentts a^d n,,^^be'o'copp,e5'ea..red fo' e r,
<br /> t',e-C'' ;)c"cc ,e'er_ i:. • :r.,. n C:.,.—er,:s to 3230 Ceca'Steet 2r.,c Goer}make Drc: ..'%■
<br /> CONTACT INFORMATION : , .N i e,,- t'vva gov Vw',e:erenwa gov per--)ts
<br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION
<br /> PROJECT SITE ADDRESS s-i,:i, 503 51ST ST SV PARCEL#: 29043600403830
<br /> r; Everett WA 98203
<br /> SUITEIUNIT#. FLOOR#• ADDITIONAL LOCATION INFORMATION '`ao cab el
<br /> TENANTIBUSINESS NAME(if nor-res dential)•
<br /> LEGAL DESCRIPTION'e-new constructor Shot- at.subd 's r SEC 36"'VP 29 :t`- SF ar•ac'+copy o'ionr,iega aes:-^p tic-
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<br /> CONTACT INFORMATION
<br /> OWNER NAME AZEB GOYTOM& MELES BERHE
<br /> OWNER MAILING ADDRESS. siii, Same as above
<br /> OWNER PHONE:206-434-9299 OWNER EMAIL: azeb_afework@yahoo.com
<br /> CONTRACTOR COMPANY NAME:OWfler
<br /> WA STATE CONTRACTOR LICENSE#,REQUIRED,: CITY OF EVERETT BUSINESS LICENSE#(RECU;r:: ::
<br /> CONTRACTOR ADDRESS: s'Ri ET
<br /> CONTRACTOR PHONE CONTRACTOR EMAIL:
<br /> PRIMARY CONTACT ❑OV,,NER CONTRACTOR ,✓.OTHER(Please Specify) °MD Design Pract,..c
<br /> CONTACT NAME CONTACT PHONE'206-775-1 47 1
<br /> E rm i as Nadu CONTACT EMAIL:ermias@emddesignpractice.com
<br /> BUILDING INFORMATION
<br /> VALUATION OF WORK S75K (ASSOCIATED LAND USE PROJECT#i `a; .-.,~c
<br /> EXISTING USE OF BUILDING SFR
<br /> PROPOSED USE OF BUILDING:AFH
<br /> HEAT SOURCE ✓Gas . E ectrc , ,Othe'
<br /> BUILDING TYPE ✓S�R Townhou �se _Dup!ex `ADU .-Multi-Fars, -a Units _ TCommerc al ,...,Accessory Structure
<br /> TYPE OF PROJECT(check ails that apply): ,_New Construction ::::Addition v tiemodel 7—Repair ✓'T.I _Change of Use
<br /> Voc a' Pc-tab e :..Re-roof .Exterior Alteration ;Tank(above ground) _Accessory Structure
<br /> tee^.e eve-7f:-: _RackStorage .Pool'Hot Tub LTank(above ground) LOther
<br /> DESCRIPTION OF WORK:Interior work(Main level only)includes,modifying andremodel;ngthe existing main level for the purpose of AFH To
<br /> modify&existing bathrooms,to divide the existing master bedroom Into accommodatng bigger space for the
<br /> existing master bathroom remodel.To add&remodel the existing dean to incorporate a new(112)bath and new
<br /> hallway.To add new bedrooms in the existing family room.To replace windows in bedrooms A&B To replace all
<br /> bedroom doors to 36" To replace existing sliding glass door with a new 36" French door To reduce the existing
<br /> kitchen counter to accommodate more space in the family room To add a new pantry and lastly to relocate the
<br /> existing stove and refngerator (Extenor work). New handrail to the existing deck and new ramp at the front entry
<br /> and paving of the existing gravel driveway
<br /> i-'' �Wi t.UGLMi NI i have reviewed this application and confirm the information contained herein is true and correct Work done pursuant to this permit must comply with
<br /> co—i—t federal state,and iocal law The granting of a permit onty authorizes approved work and no deviations therefrom Deviations must first be authorized in wrung from the
<br /> Building OfTicrat before being authorized under any circumstance I am the owner,or 1 am authorized by the owner of this property to por'orr,trio work for which application is made
<br /> and i comply with the State Contractors Law 18 27 RCW and 296 200A WAC
<br /> City of c....eft Official We Oniv
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<br /> PERMIT#
<br /> / ,,, .-, E,7,-io 2 -0 LS
<br /> ,_ y.(i: 7-- 7:,), '' ' ''
<br /> Owner/Authorized Agent Signature Date (Revised 21&2021)
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