505 LAUREL DR 2025-03-12 - 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, VIA SH INGTON 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@evereltwa.gov I (W) everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 505 Laurel Dr PARCEL #: 00562000000007 CITY Everett STATE WA zlp 98201 SUITE/UNIT #: FLOOR #: ADDITIONAL LOCATION INFORMATION (if applicable): TENANTIBUSINESS NAME (if non-residential): N/A LEGAL DESCRIPTION for new construction: Short Plat/stlbdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Walt Miles OWNER MAILING ADDRESS: sTREET 400 Valley Ave NE CITY Puyallup STATE WA Zlp 98372 OWNER PHONE:253-833-3705 OWNER EMAIL: patricia.larSon@mlleS.rocks CONTRACTOR COMPANY NAME:Hot Tubs Northwest- Ably- WA STATE CONTRACTOR LICENSE #(REQUIRED): ECNORTHHS793PJ ICITY OF EVERETT BUSINESS LICENSE #(REQUIRED): e CONTRACTOR ADDRESS: STREET 507 Fisher Lane CITY Burlington STATE WA ZIP 98233 CONTRACTOR PHONE: 360-661-6478 CONTRACTOR EMAIL: Dan Hyatt <dan@hottubsnw.com> PRIMARY CONTACT: ❑ OWNER n CONTRACTOR ❑✓ OTHER (Please Specify) Agent for the owner- Patricia Larson CONTACT NAME: Patricia Larson CONTACT PHONE:253-736-3066 (cell) CONTACT EMAIL: patricia.larson@miles.rocks BUILDING INFORMATION VALUATION OF WORK: $ 135,000 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, whelher actually paid or not EXISTING USE OF BUILDING: residential PROPOSED USE OF BUILDING: reSldentlaI HEAT SOURCE: W]Gas r ]Electric Bother BUILDING TYPE: I✓]SFR ❑Townhouse ❑Duplex ❑ADU []Multi -Family - # Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT (check all that apply) : ❑New Construction LIAddition [I Remodel (JRepair F1T.1. L]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: Install engineered fiberglass pool, in -ground pool with cover. 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 art) 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. Owner/Authorized Agent Signature 8/23/22 Date City of Everett Official Use Only PERMIT # Z2.�� O�ti (Revised 412112022)