732 93RD ST SE 2023-12-11 - Laserfiche WebLink

BALDING PERMIT APPLICATION] EVERETT CITY OF EVERETT PERMIT SERVICES 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 732 93 RD ST SE PARCEL#: 00860000001600 clrr EVERETT STATE WA zip 98208 SUITE/UNIT#: FLOOR#: 1 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:ELIAS WELELA OWNER MAILING ADDRESS: STREET 732 93 RD ST SE cm' EVERETT STATE WA zip 98208 OWNER PHONE:206.596.5743 OWNER EMAIL:� �S 1 L{r(J �� Q eo,A, CONTRACTOR COMPANY NAME:OWNER J\ WA STATE CONTRACTOR LICENSE#(REQUIRED):OWNER CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE:206.596.5743 CONTRACTOR EMAIL: PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) MICHAEL ASHINAY CONTACT NAME: I' CONTACT PHONE:206.458.0223 Mi£h�l As Wray,- CONTACT EMAIL:Michaelashinay@gmail.com BUILDING INFORMATION VALUATION OF WORK: $5,000 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:Single Family PROPOSED USE OF BUILDING:Single Family 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 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:Add two bedrooms DESCRIPTION OF WORK: PROJECT CONSISTS OF ADDING TWO NEW BEDROOM, TWO NEW CLOSETS, TWO NEW WINDOWS AND NEW DECK. 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. pp��MM City of Everett Official Use Only Michael Ashinay OVelly eip eG Oy Michael Afhbley OC 3 Dale.2021.11 IB 16.3514 WOO' Owner/Authorized Agent Signature Date (Revised 2/8/2021) WO� f Ol � t _