225 97TH PL SE 2025-04-23 - Laserfiche WebLink

• • EmIN BUILDING PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, wASHINf3TON 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@everollwa.gov I(W)evercltwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: si,00ti 225 97th PL, SE PARCEL#: 00744300001000 crtY Everett STATh WA /ire 98208 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short PlaUsubdivision: MCGILL MANOR BLK#10 Lot No.: 10 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Samphors Khlock & Chanratana Kong OWNER MAILING ADDRESS: sia.t.r Same as above CITY STATE ZIP OWNER PHONE:425-800-9156 OWNER EMAIL: Konglisa999@gmail.com CONTRACTOR COMPANY NAME:OWner WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STeEEr CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR RI OTHER(Please Specify) eMD Design Practice CONTACT NAME: CONTACT PHONE:206-775-147i E rm i a s H a I l u CONTACT EMAIL:ermias@emddesignpractice,com BUILDING INFORMATION VALUATION OF WORK:$(+I-58K) ASSOCIATED LAND USE PROJECT#(if applicable): • (Vafuatron shall include the picas.ng fa,m.ad,ct value of SI tabor,matenais,and equipment needed to complete the work,whether actually paid or not) EXISTING USE OF BUILDING: SFR PROPOSED USE OF BUILDING:AFH HEAT SOURCE: ❑Gas ZElectric ❑Other BUILDING TYPE: EISFR 'ETownhouse ❑Duplex ❑ADU LiMulti-Family-#Units: _ _ ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): i,. New Construction LAddition ;✓_;Remodel C]Repair IT.L ❑Change of Use l,_IP.lodular UPortable ❑Re-roof EExterior Alteration L]Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high LiRackStorage ❑Pool/Hof Tub IJTank(above ground) ❑Other:__ DESCRIPTION OF WORK Interior work (The main level only includes): To modify and remodel the existing house (main level) to convert it for the purpose used for AFH. The work will consist of modification and remodeling of the existing bedrooms door and windows, removing the existing fireplace, and adding a new room in the existing living room, to modify and remodel the existing bathrooms. (Exterior Work): New ramp and a new deck in the back of the house for the new entry 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,stale,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 1 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 ROW and 296.200A WAG. City of Everett Official Use Only PERMIT# CANCAYttrr- riA g114/2o2.2. pq 06c2„ Owner/Authorized Agent Signature Date (Rovised 2/8/2621) !2,