708 91ST PL SE 2025-08-20 - Laserfiche WebLink

Elm BUILDING PERMIT APPLICA i iUN 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 708 91ST PL SE EVERETT 98208 PARCEL#: 00605900001900 cry 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:DEBEB MESFIN & HAILU AZEB OWNER MAILING ADDRESS: STREET 708 91ST PL SE EVERETT 98208 c1T, Everett STATE WA zip 98208 OWNER PHONE:4252453952 OWNER EMAIL: MESFINBERHANU69@YAHOO.COM CONTRACTOR COMPANY NAME:TBD 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 0 OTHER(Please Specify) DESIGNER CONTACT NAME:J O EY CONTACT PHONE:2062407006 CONTACT EMAIL:joeydesignLLC@gmail.com BUILDING INFORMATION VALUATION OF WORK: $60,000 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 at upper floor, AFH at main floor. HEAT SOURCE: OGas ElElectric ❑Other BUILDING TYPE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ORemodel ❑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: Cvvlverf flee oprar)e ivity 4 becirvvvins. v' MI 4 , ii1 LI Oome. 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 Sta r tractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 10/28/22 PERMIT# Owner/Authorized Agent Signature Date (Revised 4/21/2022)