7209 6TH AVE W 2025-12-12 - Laserfiche WebLink

d BI "" DING PERMIT APPLICAT' IN EVERETT CITY OF EVERETT PERMIT SERVICES 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 i(E)PermitServices@everettwa.gov i(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 7209 6th Ave W PARCEL#: 00708000004400 crry Everett STATE WA 21P 98208 SUITEIUNIT#: 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:Eyerusalem Maird and Miraf Maird OWNER MAILING ADDRESS: sTREET 7209 6TH AVE W 7209 6TH AVE W CITY EVERETT STATE WA ZIP 98203 OWNER PHONE:(206) 372-5591 OWNER EMAIL: mairdeyerusalem@gmail.com CONTRACTOR COMPANY NAME:TBD Jot R&W o m; WA STATE CONTRACTOR LICENSE#(REQUIRED):.J GE I,E I, $$'I /N L CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): ✓C�/ � f Z CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Joey Design LLC CONTACT NAME: CONTACT PHONE:2062407006 CONTACT EMAIL:joeydeSignllc@gmail.COm BUILDING INFORMATION VALUATION OF WORK:$3 1,000 1ASSOCIATED 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: ❑r 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 El Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK:Garage conversion to crest an adult family home. R M"a E U `-rM E JAN 0 7 2023 CITY OF EVERETT permit Services 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 1 comply with the State Contractors Law 18.27 RCW and 296.200A INAC. PERMIT# City of Everett Official Use Only I/3�Z6 Owne e A ignature Date (Revised 412112022)