1410 73RD ST SE 2026-05-06 - Laserfiche WebLink

BUILDING PERMIT APPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, WAS H INGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION: (P) 425.257.88101(E) everetteosfteverettwa.aov I (W) everettwa.aov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS- STREET 1410 73RD ST. SE PARCEL #: 00472300001500 CITY Everett STATE WA zip 98203 SUITEIUNIT #: FLOOR #: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME (if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: HIGHLAND VIEW Lot No.: SF (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: SAMUEL ALEMU & HELEN DESTA OWNER MAILING ADDRESS: STREET Same as above CITY STATE ZIP OWNER PHONE: 206-766-0570 OWNER EMAIL: SAMI_1456 a@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 ❑ CONTRACTOR ✓❑ OTHER (Please Specify) eMD Design Practice CONTACT NAME: E rm i as H a i l u CONTACT PHONE: 206-775-1471 CONTACT EMAIL: ermias@emddesignpractice.com BUILDING INFORMATION VALUATION OF WORK: $ 75K 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: AFH 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: (Interior Modification): These works will be conducted on the main floor level to use AFH. The work will consist of modification and remodeling the existing main bathroom. To modify existing bedrooms by removing/replacing the existing bedroom windows for egress. To convert existing family rooms to bedrooms. (Exterior Work): New ramp for the back deck accesses 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. I am the owner, or I 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 WAG. Agent Signature Date City of Everett Official Use Only PERMIT # (Revised 218/2021)