317 78TH PL SW 2024-12-09 - Laserfiche WebLink

BUILDING PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 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 1 (E) PermitServices@everettwa.gov I (W) everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 317 78th Place Southwest PARCEL M SIT., Everett STATE WA Zlp 98203 SulE/UNIT #: FLOOR M 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: Christina OCampo OWNER MAILING ADDRESS: STREET 317 78th Place Southwest CITY Everett STATE WA Zlp 98203 OWNER PHONE: 425-293-9370 1OWNER EMAIL: CONTRACTOR COMPANY NAME: DadZ Electrical LLC WA STATE CONTRACTOR LICENSE #(REQUIRED): DadZees824b4 CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 581 981 CONTRACTOR ADDRESS: STREET 8978 48th Place West CITY Mukilteo STATE Wa ZIP 98275 CONTRACTOR PHONE: 425-870-8109 1CONTRACTOR EMAIL: DadZofflce@gmall.com PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: MiliSsa CONTACT PHONE: 425-344-1923 CONTACT EMAIL: DadZofflce@gmail.com BUILDING INFORMATION VALUATION OF WORK: $ 7175 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: PROPOSED USE OF BUILDING: 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 I/Hot Tub ❑Tank (above ground) []Other: DESCRIPTION OF WORK: Provide and install conduit and wiring from Electrical panel to hot tub disconnect and then to new hot tub unit. Wiring to be proper gauge with protective conduit in order to match manufacturer specs. This is to approve Electrical permit E2405-134 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 1 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 RC_W and 296.200A WAC. City of Everett Official Use Only 5/22/24 PERMIT # Owner/Authorized Agent Signature Date (Revised 412112022)