2520 100TH ST SE 2024-11-07 - Laserfiche WebLink

BU•ING PERMIT APPLICATIO 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)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2520 100th st SE PARCEL#: 00873800000100 CITY Everett STATE WA ZIP 98208 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:Fatoumata Trawally , Brandon Liu OWNER MAILING ADDRESS: STREET 2520 100th st SE Everet STATE WA ZIP 98208 OWNER PHONE:4257375405 OWNER EMAIL: ft42003©yahoo.com CONTRACTOR COMPANY NAME: 6 Wr WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR ❑OTHER(Please Specify) Drafting agent CONTACT NAME: CONTACT PHONE:253-486-4369 Cristian Susanibar CONTACT EMAIL:cristiansb85@msn.com BUILDING INFORMATION VALUATION OF WORK: $15,000.00 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:Garage PROPOSED USE OF BUILDING:Garage to be converted into bedrooms 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 ❑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:Garage conversion to living space DESCRIPTION OF WORK:We will be converting the existing garage to bedrooms • RNOV1GJ 2023 NO kEkt CITY OF EVERE TT rerrnit services 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. thorized 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 - • aw 18.27 RCW and 296.200A WAC. City of Everett Official Use Only'/ .10,/i PERMIT# b%).,31i 10/29/2023 / :•fir Owner/Authorized Agent ignature Date (Revised 4/21/2022)