807 48TH ST SW 2021-12-20 - Laserfiche WebLink

r PERMIT APPLICATION BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1(E) everetteps@everettwa.gov ( www.everetKva.gov/permits PROJECT SITE ADDRESS: PROPERTY TAX #: LEGAL for new constriction: Short Plattsubdivision Lot No. (attach copy of long legal description) OWNER NAME: A p,rc— ,v � -ee )e-kZ TENANT NAME (If Commercial): OWNER MAILING ADDRESS: STREET 6 -7 } =- A- S�-,J CITY C d e. ( STATE W zip 3 OWNER PHONE: q as -, % (oS 1396o 1OWNER EMAIL: VV, %pck—c( v1,1a n(0--) n14,1 C. i 1, C'0711e—. CONTRACTOR NAME: \ CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE #(REQUIRED): CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): PRIMARY CONTACT: WNER ❑ CONTRACTOR ❑ ease Specify} OTHER (Please CONTACT NAME:��e �CONTACT PHONE: CONTACT EMAIL: jtA cJGtlvv\,a Cl M Ck- ) f . co" Existing Use of Building: oly- : Contract Price of Work: S U U U Proposed Use of ilding: lHeat Source: .. ❑Gas ❑Electric ❑Other Building T SFR-Detached ❑SFR-Attached ❑Du lex ❑Mufti-Famil -# of Units: ❑Commercial ❑Industrial Type of Project: ❑New Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK:' d�-� n n r J V�e r.46_7.-A 6�-( 4ex'iS {�i �C� GyICGIiG BUILDING PERMIT # 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 Ofcial before being authorized under any circumstance. I am the owner, or I am authorized b own 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 � v PERMITj� Owner/Authorized Agent Signature Date (Revised 912312016)