804 91ST PL SE 2024-04-12 - Laserfiche WebLink

BRIG PERMIT APPLICAT 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 1(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: SWEET 804 91ST PL SE PARCEL#: 00605900002200 crry EVERETT STATE WA ZIP 98208 SUITE/UNIT#: FLOOR#:ALL ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: EMERSON PARK EAST el.K 000 D-00 Lot No.:22 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:HANNAH ADMASSIE/GEBREAGEAZITE YEMANE OWNER MAILING ADDRESS: STREET 804 91 ST PL SE crry EVERETT STATE WA ZIP 98208 OWNER PHONE:206-596-5576 OWNER EMAIL: admassie804@gmail.com CONTRACTOR COMPANY NAME:STATEWIDE RESTORATION INC WA STATE CONTRACTOR LICENSE#(REQUIRED):STATERI866KH CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 55221 CONTRACTOR ADDRESS: STREET25713 74th ave S crry Kent STATE WA ZIP 98032 CONTRACTOR PHONE:206-841-4702 CONTRACTOR EMAIL:roman.savchik@gostatewide.com PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑✓ OTHER(Please Specify) Architect/Design team CONTACT NAME: CONTACT PHONE:425-772-3167 Dean Dariotis CONTACT EMAIL:deandariotis@gmail.com BUILDING INFORMATION VALUATION OF WORK:$ j000. 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:Single family residence PROPOSED USE OF BUILDING:Single family residence HEAT SOURCE: ❑✓Gas DElectric DOther BUILDING TYPE: ❑✓SFR ❑Townhouse ❑Duplex DADU DMulti-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑✓Repair ❑T.1. ❑Change of Use ❑Modular ❑Portable DRe-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK:Repairs to single family residence due to fire. Top floor demoed to studs. Replace 4 trusses. Kitchen window & door to deck. Demo interior surfaces bedroom 4 downstairs. Insulate exposed wall cavities and attic area. Replace drywall &finishes upstairs and bedroom 4. New millwork upstairs and new floor coverings. Reattach appliances and fixtures. 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.tam the owner,or lam authorized by the owner of this property to perform the work for which application is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Onlly�//5PERMIT# I32' ` ( O ' 1//dz Owner/Authorized Agent Signature Date (Revised 2/8/2021)