1714 127TH PL SE 2023-12-11 - Laserfiche WebLink

ECO :, �• B•DiNG PERMIT APPLICATION tl EVERETT CITY OF EVERETT PERMIT SERVICES FEB 1 1 2023 SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and„Q umber of copies required for review, WASHINGTON then drop off completed application plus all required submittal documents to 3200 C �i�eeO t1 f€WEtRB-t7fo{�Box. CONTACT INFORMATION:(P)425-257-8810 I(E)PermitServices@everettwa.gov I(W)etrateryfRoSNIVtr@S (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1714 127TH PL SE PARCEL#: 28053000404800 crry EVERETT STATE WA ZIP 98208-6516 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:GEBEYEHU MEKONNEN/MELEKET AYNADIS OWNER MAILING ADDRESS: STREET 1714 127TH PL SE crcr EVERETT STATE WA ZIP 98208-6516 OWNER PHONE:425 501-4080/206 484-4197 OWNER EMAIL: mekonnen.gebeyehu@atsmro.com CONTRACTOR COMPANY NAME:TBD j 0 tf�'�I1 C+ uenstiwL 1 th' WA STATE CONTRACTOR LICENSE#(REQUIRED):TBD 146g,T (L8 1 CQ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): TBD (al bG, CONTRACTOR ADDRESS: STREET TBD c1Tr TBD STATE TBD ZIP TBD CONTRACTOR PHONE:TBD CONTRACTOR EMAIL:TBD PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Designer CONTACT NAME:J oey Design L LC CONTACT PHONE:2062407006 Y g CONTACT EMAIL:joeydeSignllc©gmail.com BUILDING INFORMATION VALUATION OF WORK:$10,000 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevailcig fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING: 'SF Z. PROPOSED USE OF BUILDING: pr"-12, HEAT SOURCE: ' Gas ❑Electric ❑Other BUILDING TYPE: XSFR ❑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 ORe-roof ❑Exterior Alteration ❑Tank(above ground) DAccessory Structure OFence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: Add ramp front and back, add bathroom 2, expand bath rm 1, split the master bedroom and wic to 3 bedrooms and add office space. ACKNOWLEDGEMENT:1 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.lam the owner,or lam authorized by the owner of this property to perform the work for which application is made. and/comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only d 7^a PERMIT# 0C-V Jdwner/Ay arized Agent gnature Date (Revised 4/21/2022) l/ i