2215 COLUMBIA AVE 2026-04-07 - Laserfiche WebLink

BUILDING PERMIT APPLICATION 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 1 (E) PermitServices@everettwa.gov I (W) everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2215 Columbia Ave PARCEL M 00545001702300 cITY Everett STATE WA z,P 98203 SUITE/UNIT M FLOOR M 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: BELETE WONDIMU & ZIKE GENET OWNER MAILING ADDRESS: STREET 2215 Columbia Ave CITY Everett STATE WA ZIp 98203 OWNER PHONE: (206) 499-2212 OWNER EMAIL: WOr1Cllmubelete4@gmall.COm CONTRACTOR COMPANY NAME: TB 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 ❑✓ OTHER (Please Specify) Designer CONTACT NAME: JOEY CONTACT PHONE: 2062407006 CONTACT EMAIL: JOeydeSlgrlllC@gmall.COm BUILDING INFORMATION VALUATION OF WORK: $ 30,000 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: SFR PROPOSED USE OF BUILDING: SFR + AFH at lower floor HEAT SOURCE: ❑✓ Gas ❑Electric ❑Other BUILDING TYPE: ❑✓ SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ❑Commercial ❑Accessory 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: PROPOSED GARAGE CONVERSION INTO THREE BEDROOMS & POWDER ROOM, AND LOWER FLOOR INTERIOR ALTERATION TO MAKE AN ADULT FAMILY HOME 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. l am the owner, or l am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. 12/30/2024 Owner/Authorized Agent Signature Date City of Everett Official Use Only PERMIT # (Revised 412112022) Doc ID: e9elf5c8f4f9fld28012b6db7487ece24daa72fc