Laserfiche WebLink
rar BU ING PERMIT APPLICATI' ' <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT <br /> SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, <br /> WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. <br /> CONTACT INFORMATION: (P)425.257.8810 1 (E)everetteps©everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 7818 E tRsino RD. PARCEL#: 00393600301002 <br /> cli- Everett STATE WA ZIP 98203 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME (if non-residential): <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: BERVERLY HOME TRACTS Lot No.:SF (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:TEWABECH & MASTEWAL RES. AFH CONVERSION <br /> OWNER MAILING ADDRESS: STREET Same as above <br /> CITY STATE ZIP <br /> OWNER PHONE:206-696-9431 OWNER EMAIL: amenlabel@yahoo.Com <br /> CONTRACTOR COMPANY NAME:Owner <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) eMD Design Practice <br /> CONTACT NAME: CONTACT PHONE:206-775-1471 <br /> E rrOias\H a i l u CONTACT EMAIL:ermias©emddesignpractice.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $95K ASSOCIATED LAND USE PROJECT#(if applicable): <br /> (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) <br /> EXISTING USE OF BUI INGFR <br /> PROPOSED USE OF BUILDING:AFH <br /> HEAT SOURCE: ✓❑Gas ❑Electric ❑Other <br /> BUILDING TYPE: ❑✓SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑✓Remodel ❑Repair ❑✓T.I. ❑Change of Use <br /> ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure <br /> ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑✓Other:Garage conversion <br /> DESCRIPTION OF WORK:Interior work @ (Lower level): To modify and remodel the existing house (lower level)to convert it for the <br /> purpose used for AFH. The work will consist of modifying the existing bathrooms, replacing doors and <br /> window if applicable, to replace the existing sliding glass door with a double French door. To modify <br /> existing master bedroom to maximize the size. To convert existing garage to livable space for additional <br /> bedrooms and (2) (1/2) bath room. <br /> Exterior Work @ (Lower level): New Conc. ramp/walkway to connect from the driveway to the back patio <br /> 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 <br /> 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 <br /> 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, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> 'nua,s JIallcc /147 e.AIXO d 3/09/202 3 D 3 -- <br /> Owner/Authorized Agent Signature Date (Revised 2/8/2021) <br />