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Bl- ;DING PERMIT APPLICAT %N <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETTSUBMITTAL INSTRUCTIONS: SEE appllwble submittal checklislfor suspended requirements and number of Copies required for review, <br />wnex NOTON then drop oNmmpleted application plus all Fri Fred whir lal dowments 10 32N Cedar Steal 2M Floor Intake Drop Box. <br />CONTACT INFORMATION: R) 425 257 86101(E) everetleps@everetWa.gov I (W) everellwagovlpermlls <br />0011I ol',BINp�'Igk?1_' R,I ¢','gJ .,h „ :iy,PROs1ECT SITE INFO�tMNTIOIS ,'R'#ti; jfw"P - _ <br />PROJECT SITE ADDRESS: STREET WE NTH ST SE PARCEL#: OOB OWG170 <br />ZIP CRT EVERETT STATE VJA 98200 <br />BUITEIUNIT#: FLOOR IF: ADDITIONAL LOCATION INFORMATION (if applicable): <br />TENANTIBUSINESS NAME (it non-residential): <br />LEGAL DESCRIPTION for new Scandal Shad PlaNaubdivision: BROADWAYMANOR LDt No.: 17 (attach Copy of Ong legal aeaalplbn) <br />.c ACT INF6kMPTmbt`,' ps. „ 01, <br />OWNER NAME: ELIAS DOLE IS MARCY WODAJO <br />OWNER MAILING ADDRESS: STmeT 905 94TH SIT SE <br />MTy EVERETT sham WA Zip 98208 <br />OWNER PHONE: 206.442-6695 <br />OWNER EMAIL: ELISHU82@GMAIL.COM <br />CONTRACTOR COMPANY NAME: OWNER <br />WA STATE CONTRACTOR LICENSE A(REQUIRED): <br />CITY OF EVERETT BUSINESS LICENSE g(REQUIRED): <br />CONTRACTOR ADDRESS: STREET <br />CITY mAm vp <br />CONTRACTOR PHONE: <br />CONTRACTOR EMAIL: <br />PRIMARY CONTACT: DOWNER ❑CONTRACTOR 0OTHER (please Specify) Caro DESIGN PRACTICE <br />CONTACT NAME.ERMIAS KOTU <br />CONTACT PHONE:206-T16-14T1 <br />CONTACT EMAIL: ermias@emddesignpracflce.com <br />- - _ i 1IyG'INFpRNYgT10N�" Icy �, L c0<< <br />VALUATION OF WORK: $ 60K ASSOCIATEDLAND USE PROJECT#(il apgiceble: <br />IVa IntlWalbapnvaRTg(ah,rakel veWa melenab.a aeJN Ie New I, paIS pj <br />EXISTING USE OF BUILDING: SFR <br />PROPOSED USE OF BUILDING:O FH <br />HEAT SOURCE: OGas WEledric OOgler <br />BUILDING TYPE:©SFR OTownhome ODu*x OADU E]Muki-Family-#Units:_ [-]Comm dal ElAccessord Brudme <br />TYPE OF PROJECT(clevira#lhat apply): New ConsWtlion l7JAddltlall ©Remodel ORepair EIEI OCharlgeaf Use <br />11hatedular OPortable ORe-roof OExledor Allerstion OTank(abrdeground) OAcrossmy Struclum <br />OFenceover TShgh ORaBtmage OPODllHOt Tub Onnak(ebovegrouM) 0OIheCGARAOECONWRSION <br />DESCRIPTION OF WORK: IOteriar)Exterior Work includes: Lower level (on y),to convert the existingIhealivable space, <br />wall o <br />modify add remodel the existing bathroom, tog bar the exking bedroom wallas bathroom. <br />IO Upper <br />door opening accessible, to modify the existing bar akin &toe add a one additional bathroom. Upper level <br />level <br />(only), to add to the house (exterior) a new offce space in the existing master bedroom. <br />Exterior work includes: New walkway to connect to the driveway & a new deck <br />ACKAtl DGEMENr, I hate reviewetl Mle apPyaefrcn and Ndam the Nkm, mar herein is Com aMcmdaE W dw pulsuanlo IM1IapemH}mwl complywash <br />c,mwY/s0em1, slab and beat Aw. ThepanMgdeparmJanlYaull,w¢asegvocedxnM mdwde0atiMffis W.OevAmmmmffi/U be aulhwixsO in wal Iromlhe <br />9uiNinBOMiclalbthe bd�ge imcl dunueranyvrcwnsw2 Iem Ma mvnw, nlem euXwnaetlglhe amerdfM1la prtpMylo Fabam IM1e xwkWwl,Iehapplralbnbme0e. <br />eM I acmply xrN the SM Canlre[Iws Lew f& 2) RCW eM 1Ba2WAWAC <br />Elias Dods Vie PERMIT# <br />OvenerlAuthorizetl Aged Signature USE pf (Reviaed2 2211)` V `/ <br />Z <br />