2601 23RD ST 2024-06-13 - Laserfiche WebLink

BSDING PERMIT APPLICATOR CITY OF EVERETT PERMIT SERVICES t� OCT 3 0 2023 EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requiremen number,of copies required ired fo iew, WASHINGTON then drop off completed application plus all required submittal documents to 3200 0trom�p�--22 Fr ke Drop Box. CONTACT INFORMATION: (P)425-257-8810 I(E)PermitServices@everettwa.gov I JerW .0looIntaTT (Blue or Black Ink Only Please) PROJECT SITE INFORMATION Uttrlt Services PROJECT SITE ADDRESS: STREET 2601 23rd St PARCEL#: 29052000200100 CITY 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:Daniel Lawson OWNER MAILING ADDRESS: STREET 2601 23rd St CITY Everett STATE WA ZIP 98201 OWNER PHONE:910-264-6963 'OWNER EMAIL: ddandlaw@aol.com CONTRACTOR COMPANY NAME: C) l ti 1 ' y WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: El OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING INFORMATION VALUATION OF WORK:$9500 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:N.A. PROPOSED USE OF BUILDING: Install new hot tub 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:T' x 6' -550 gallon hot tub delivered and placed on 8' x 8' modular spa pad, laid on existing leveled gravel bed in the backyard. Hot tub wired to home electricity as described on associated electrical permit application submitted separately by certified electrician. Accurate hot tub volume is—215 gallons according to the specs. 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 10/29/23 PERMIT# ,5 `✓�1i 7 Owner/Authorized Agent Signature Date (Revised 4/21/2022) J