6220 EAST DR 2023-12-07 - Laserfiche WebLink

r7 , (;.a rt7 ra--, r-• E BDING PERMIT APPLICATI rD � CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirem t nd nFr€ti3r pi O21uired .Jr view, WASHINGTON then drop off completed application plus all required submittal documents to Cedar Street 2nd Floor Intake p Box. CONTACT INFORMATION: (P)425-257-8810 I(E)Permitservices@everettwa.go\l I"rui" � Kte 1 T (Blue or Black Ink Only Please) PROJECT SITE INFORMATION Prrmiit :471rviries PROJECT SITE ADDRESS: STREET 6220 EAST DR PARCEL#: 28053000404800 cry EVERETT STATE WA ZIP 98203-4411 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: SENBETO GETAHUN & WORKNEH YENENESH OWNER MAILING ADDRESS: STREET 6220 EAST DR CITY EVERETT STATE WA ZIP 98203-4411 OWNER PHONE:(702) 336-1576 OWNER EMAIL: leulgetahun8464@gmail.com CONTRACTOR COMPANY NAME: K i+ ( .9 u c-1L- A,) 6 ' 4,P ^� WA STATE CONTRACTOR LICENSE#(REQUIRED):`Wake-7 35'RL CITY OF EVERETT BUSINESS LICENSE#(REQUIRED) Q cA.(fit 113 CONTRACTOR ADDRESS: STREET • I� � E TAMES S'1— 1 CITY rr STATE ZIP 9b D CONTRACTOR PHONE: ' ` 5.,a - 7 CONTRACTOR EMAIL: TeA/)�k k'L✓/h c'kZ PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR 0 OTHER(Please Specify) Designer CONTACT NAME: CONTACT PHONE:(702) 336-1576 SENBETO GETAHUN&WORKNEH YENENESH CONTACT EMAIL:leulgetahun8464@gmail.com BUILDING INFORMATION VALUATION OF WORK:$40,000 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:SFR 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 EIRemodel ❑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: PROPOSED INTERIOR ALTERATION by adding full bathroom and existing bedroom closet alteration. Relocating electric stove and ref (removing interior kitchen wall) and adding preparation kitchen island. 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 / PERMIT# f15 300). 90 Owner/Authorize A9 a Signature Date (Revised 4/21/2022)