244 HEATHER RD 2024-06-12 - Laserfiche WebLink

NOLDING PERMIT APPLICAERN CITY OF EVERETT PERMIT SERVICES EVERETTSUBMITTAL 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 244 Heather Rd PARCEL#: CITY Everett STATE WA ZIP 98203 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Hot tub install Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Ryan Blakely OWNER MAILING ADDRESS: STREET 244 Heather Rd CITY Everett STATE WA ZIP 98203 OWNER PHONE: 206-605-4629 OWNER EMAIL: ryanblakely@outlook.com CONTRACTOR COMPANY NAME: Rock Electric WA STATE CONTRACTOR LICENSE#(REQUIRED):ROCKEEL847NZ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 57024 CONTRACTOR ADDRESS: STREET 16910 59th Ave NE CITY Arlington STATE WA ZIP 98223 CONTRACTOR PHONE:4253271965 CONTRACTOR EMAIL:ben.hale@pcfgroUp.COM PRIMARY CONTACT: ❑OWNER ElCONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:4253271 965 Ben Hale CONTACT EMAIL:ben.hale@pcfgroup.com BUILDING INFORMATION VALUATION OF WORK: $4,100 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:SFR, just adding hot tub HEAT SOURCE: ❑✓Gas DElectric ❑Other BUILDING TYPE: IZSFR ❑Townhouse ❑Duplex DADU ❑Multi Family-#Units: ❑Commercial DAccessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Change of Use ❑Modular ❑Portable ORe-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure OFence over 7ft high ❑RackStorage ElPool/Hot Tub OTank(above ground) ❑Other: DESCRIPTION OF WORK:Just adding a hot tub in back yard. 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 WAC. City of Everett Official Use Only 01/15/202, PERMIT# , 0 4 2_ Owner/Authorized Agent Signature Date (Revised 4/21/2022)