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BUILDING PERMIT APPLICATION <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) PermitServices@everettwa.gov I (W) everettwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: STREET 9710 SHARON DR PARCEL #: 00534100001800 <br />CITY EVERETT STATE WA z,p 98204 <br />SulE/UNIT #: FLOOR #: ADDITIONAL LOCATION INFORMATION (if applicable): <br />TENANT/BUSINESS NAME (if non-residential): <br />LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: ANSAH OPPONG CHARLES <br />OWNER MAILING ADDRESS: STREET 9710 SHARON DR <br />CITY EVERETT STATE WA zip 98204 <br />OWNER PHONE:254 654 0945 <br />OWNER EMAIL: WILLIAMA@WIKADESIGNS.ORG <br />CONTRACTOR COMPANY NAME: OWNER WILL DO THE WORK <br />WA STATE CONTRACTOR LICENSE #(REQUIRED): <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): <br />CONTRACTOR ADDRESS: STREET <br />CITY STATE ZIP <br />CONTRACTOR PHONE: <br />CONTRACTOR EMAIL: <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR 0 OTHER (Please Specify) ARCHITECTURAL DESIGNER <br />CONTACT NAME: V�/I LLIAM ARAKA <br />CONTACT PHONE:253 398 0271 <br />CONTACT EMAIL: WILLIAMA@WIKADESIGNS.ORG <br />BUILDING INFORMATION <br />VALUATION OF WORK: $10000 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 BUILDING: SINGLE FAMILY RESIDENCE <br />PROPOSED USE OF BUILDING: ADULT FAMILY HOME <br />HEAT SOURCE: [-]Gas DElectric ❑Other <br />BUILDING TYPE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ❑Commercial ❑Accessory Structure <br />TYPE OF PROJECT (check all that apply) : ❑New Construction ❑Addition ZIRemodel [-]Repair ❑T.l. ❑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: <br />DESCRIPTION OF WORK: <br />CONSTRUCT A RAMP RISING 12" FROM GRADE <br />CONVERT BONUS ROOMS TO 2 BEDROOMS <br />MAKE MASTER BEDROOM A COMMON BEDROOM. MAKE MASTER BATHROOM <br />A COMMON BATHROOM <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 1 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 />Owner/Authorized Agent Signature Date <br />City of Everett Official Use Only <br />PERMIT # <br />(Revised 412112022) <br />