2132 HIGHLAND AVE 2024-10-24 - Laserfiche WebLink

ecA BUI•NG PERMIT APPLICATIC CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, WASH!NGTON 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 I(E)PermitServices@everettwa.gov I(W)everettwa.govlpermits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2132 HIGHLANDyB'I'14 � PARCEL#: 00453445303100 crrY EVERETT STATE WA ZIP 98201 SUITE/UNIT#: FLOOR#: 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:ALI SEID MOHAMMED OWNER MAILING ADDRESS: STREET 2132 HIGHLAND cm( EVERETT STATE WA ZIP 98201 OWNER PHONE:2062617592 OWNER EMAIL: Seidali99@gmail.com CONTRACTOR COMPANY NAMEr TBD &Aintj 1 RQmu cW,Q,.tain LL L WA STATE CONTRACTOR LICENSE#(REQUIRED):SU,}�L I R.Li 7 VAT CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ElOTHER(Please Specify) CONTACT NAME: CONTACT PHONE:2062407006 Joey Perez CONTACT EMAIL:joeydesignllc@gmail.com BUILDING INFORMATION VALUATION OF WORK:$ $35,000 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: s. PROPOSED USE OF BUILDING: A A 'Ganef 1(,I f 4Zy{/LQ,r 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 DRemodel ❑Repair ❑T.I. ❑Change of Use ❑Modular ❑Portable DRe-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accesso y Structure y ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) 'Other: CAI fi17[tr�i N/I 4,1141 ,. DESCRIPTION OF WORK: PROPOSED GARAGE CONVERSION INTO NEW LIVING , DINING KITCHEN, STAFF ROOM AND A BATH - AND MAIN FLOOR INTERI TERATIO G I4LdT OVI ��ra plghs PROJECT DESCRIPTIO tA 411bu A thi PROPOSED MINOR INTERIOR PARTITION NNALL NOV 12 2023 l � ALTERATION AND SARAGE CONVERSION TO `[ ADULT FAMILY HOME TY Of EVERETT ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant t { -,frr(it jptirt6l th 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.lam 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 WAC. City of Everett Official Use Only 11/05/2023 PERMIT# Owner/Authorized Agent Signature Date (Revised 4/21/2022)