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

NINE BUILDING PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETTSUBMITTAL 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 2402 melvin ave PARCEL#: c ITY everett STATE wa ZIP 98203 SUITE/UNIT#: a 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: OWNER MAILING ADDRESS: STREET 2402 MELVIN AVE cln EVERETT STATE WA ZIP 98203 OWNER PHONE: 206-816-2264 OWNER EMAIL: BBYARED@YAHOO.COM CONTRACTOR COMPANY NAME:INTEGRITY MAINTENANCE AND REPAIR LLC WA STATE CONTRACTOR LICENSE#(REQUIRED):INTEGMR780T CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 66683 CONTRACTOR ADDRESS: STREET 2215 117 AVE SE clry LAKE STEVENS STATE WA zip 98258 CONTRACTOR PHONE:425_2326650 CONTRACTOR EMAIL:Jeremy@integrityrepair.net PRIMARY CONTACT: D OWNER El CONTRACTOR ❑OTHER (Please Specify) CONTACT NAME: CONTACT PHONE:425 232 6650 J E R E MY MA I N E CONTACT EMAIL:jeremy@integrityrepair.net BUILDING INFORMATION VALUATION OF WORK: $65,500 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: RESIDENCE PROPOSED USE OF BUILDING:RESIDENCE HEAT SOURCE: ❑Gas ❑✓Electric ❑Other BUILDING TYPE: ❑✓SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ECommercial ElAccessory 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: DESCRIPTION OF WORK:Rennovating the garage to have 3 rooms and 1 bathroom. 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 S teontractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# 62_3I1 - � � � Owner/Authorized A e ignature Date (Revised 4/21/2022)