2402 MELVIN AVE A ABAJARO ADULT FAMILY HOME 2025-04-01

L,JILDING PERMIT APPLICA I .JN 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)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2402XMelvin Ave PARCEL#: 01056900000100 clry Everett STATE WA ZIP 98203 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Plat of Pinehurst Lot No.:12&13, Blk 14 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Yared Abajoro OWNER MAILING ADDRESS: STREET 2402 A Melvin Ave CITY Everett STATE WA ZIP 98203 OWNER PHONE:206-816-2264 OWNER EMAIL: CONTRACTOR COMPANY NAME: T EJJ A,n� WA STATE CONTRACTOR LICENSE#(REQUIRED): I v V CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): .,..-- CONTRACTOR ADDRESS: STREET 7 CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Dante Palmaffy CONTACT NAME: CONTACT PHONE: 425-345-2530 Dante Palmaffy CONTACT EMAIL: Dpalmaffy@aol.com BUILDING INFORMATION VALUATION OF WORK:$40000.00 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 with Adult Family Home HEAT SOURCE: ❑✓Gas ❑Electric ❑Other BUILDING TYPE: ✓❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure 1 TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition F.-Remodel ❑Repair DTI. ❑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: DESCRIPTION OF WORK:Convert the existing garage into living space and create a three bedroom Adult Family Home on the lower level. ID ECEIVIE l N O V 20 2023 .ii CITE( OF EVERETT ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuarReliP trn t kiekewith current federal, . e,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 Offic:1 b,fore being. •orized 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 1 comp wi the S to•ontr. tors Law 18.27 RCW and 296.200A WA . / City�of Everett Official Use Only C ' 1 17 �%�(�? PERMIT# D �' 051� Own: /Authorized A.ent Signatur: D to (Revised 4/21/2022)