1202 E CASINO RD 2025-04-25 - Laserfiche WebLink

BUILD. ; PERMIT APPLICATION n n CITY EVERETTPERMIT SERVICES EVERETT @ dje SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and nu b p f t: WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedat et 2nd Floor Intake Drop Box. CONTACT INFORMATION:(P)425.257.8810((E)everetteps@everettwa.gov I (W)ever .govlpgr;r�t�ts2 5 2023 (Blue or Black Ink Only Please) PROJECT SITE INFORMATION JUiY PROJECT SITE ADDRESS: STREET 1202 CASINO RD PARCEL#: 0394100201 0PTY OF EVERET my Everett[/ STATE WA P ,rm*b2ervices SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction; Short Plat/subdivision: SE 7 T28N R 5E Lot No.: 16 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:ZEWDU FASHIE OWNER MAILING ADDRESS: STREET Same as above CITY STATE ZIP OWNER PHONE:2064538023 OWNER EMAiL: fashiezewdu@yahoo.com CONTRACTOR COMPANY NAME:Owner WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑OWNER LI CONTRACTOR WI OTHER(Please Specify) eMD Design Practice CONTACT NAME: CONTACT PHONE:206-775-1471 E rm i a s H a i l u CONTACT EMAIL:ermias@emddesignpractice.com /y BUILDING INFORMATION VALUATION OF WORK: $ l= I 50.14-20ftK1 I (5 WO ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevailing fair market value of all labor,mater(als,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 AElectric ❑Other BUILDING TYPE: ❑✓SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial LiAccessory Structure TYPE OF PROJECT(check all that apply): ENew Construction DAddition I]✓Remodel ❑Repair ❑✓T.I. ❑✓Change of Use LiModular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure LiFence over lit high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK:(Interior work): To modify and remodel the existing house ( main level) to convert it for the purpose used for AFH. The work will consist of modifying the existing bathrooms per AFH standard to (if applicable) replace all door with 36". (Exterior work): New addition to extend the south west corner of the existing resident to accommodate for additional sleeping area and bathroom. A new ramp for the front entry and new deck. ACKNOWLEDGEMENT:t have reviewed this application and confirm the information container!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.1 am the owner,or!am authorized by the owner of this property to perform the work for which application is made, and 1 comply with the State Contractors Law 18.27 ROW and 296.200A WAC, City of Everett Official Use Only C,4 PERMIT# e;7_s OwnerlAerlA thorize t Signature Date (Revised 2/8/2021)