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BUILDING PERMIT APPLICATION <br /> EVERETT SUBMITTAL INSTRUCTIONS:seCITY <br /> �O t EVERETT <br /> uhmdal rhodcl SERVICES <br /> submittal requirements and number of copies required for review, <br /> 1YASH I MG T n1r tt>nn dmp oft completed nppticabon pluL all requimd submittal documents to 3200 Ceder Street 2nd Floor Intake Drop Box <br /> CONTACT INFORMATION:(P)425267.88101(E)everettepsCDevereems gov I(W)evaed"gm/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: vnm 10733 20TH PL W PARCEL= 00791200001300 <br /> c"Everett Sun WA , 98204 <br /> IT <br /> UREAJNIT 0: FLOOR N: ADDMONAL LOCATION INFORMATION(if applicable): <br /> ENANTIBUSINESS NAME(ifn nresidential): <br /> EGAL DESCRIPTION la raw condiuction: Shod PuwsubdivY7on: HOLLYCREST PARK Lm No:13 (aftch aVY of lag copal desaO-) <br /> CONTACT INFORMATION <br /> OWNER NAME:EBRIMA FATAJO <br /> OWNER MAILING ADDRESS: rpm 10733 20TH PL W <br /> EVERETT STATE WA 98204 <br /> OWNER PHONE:4257731881 1OWNER EMAIL:fata)Oebnma@yahoo.Com <br /> CONTRACTOR COMPANY NAME:OWner <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED): CRY OF EVERETT BUSINESS LICENSE/(REQUIRED): <br /> CONTRACTOR ADDRESS: STRM <br /> «ry STATE np <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> PRIMARY CONTACT: ❑OWNER n CONTRACTOR L- OTHER(Please Specify)oMD Design Practloo <br /> CONTACT NAME: CONTACT PHONE:206-775-1471 <br /> Ermlas Hailu CONTACT EMAIL:ermias@emddesignpracUce.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK:tip 18 ASSOCIATED LAND USE PROJECT# if appficabla <br /> e►,ason aw w"ju Ya Wwa&V W m**m YOA(A ei iabw.malerrls,and ewpaarrl needed b oanPIMe ft Work.Mtwvw bdualy Prod Of not <br /> EXISTING USE OF BUILDING: SFR <br /> PROPOSED USE OF BUILDING:AFH <br /> HEAT SOURCE: []Gas L✓iEloctdc t]Other <br /> BUILDING TYPE: IRISFR QTOWnlwuse (]Duplex (]ADU t7Mulb-Family-N Units: OCommercial ❑ftaw ary Structure <br /> TYPE OF PROJECT(d►eck of Hlwf apply): CNew ConstnxZW ❑Addition FIRemodel ❑Repair ✓OT.I. OCharge d Use <br /> 0M,odular ❑Portable ❑Re-roof OE,derfor AReratlon OTank(above groudnd) U1Atxessay Structure <br /> C-Teruo over 7R high L1Rad(Storage 13POOVtiot Tub (-)Tank(above ground) <]✓Olher.ADDING GRAB BARS IN EXIST.BATHROOMS <br /> DESCRIPTION OF WORK:Interior Work (The main level): To be converted for the use of AFH. The work will <br /> modify the bathroom to AFH standard by adding grab bars. <br /> Exterior Work: New wooden ramp <br /> AGKNOi%EDQEMENI%I h@v*nr4v*W Ws eAPac'se n N"d ca0hn the k3AYM 'J n a ak)9d MrTrh 14 We rand Cww 1 MA d ra ptrarri b M pwn*must cmp'y► t) <br /> arrOrf ArdMeC aAare�and bat Aew.Tie prvrlrq d a pemrr cM'auerorhTrs epproard waA end ra devlstlms trierehrvn Oavlatrcrn rrxrsr tYsf M stRAntrsd b wTidnp ham Hae <br /> Bu/r>Tp 011kW befts bhp mk*vtmd wOw any OURMI nca.I Om Va oww,of l am et/nwowl by Un am«cI th's p+opeely to perkrm"Wcvlt lhr~wplc~is made. <br /> Ord I wffpy we toe SWN om*gd rs Law IS 27 RCW and 206 20M WAC. <br /> city d r-Vema 016oir Uss ony <br /> �— r <br /> ERMIT a <br /> 6 ax(2 7,?7o� —0 ]5 :1 <br /> ownsdAuthorind Agwd Slgnaltsm Deb (Rs0sud 2,SW2l) <br />