7109 RAINIER DR G H 2020-07-15 - Laserfiche WebLink

LLECT ICAL PERMIT APAP L CAT O N CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 FAX 425-257-8857 I (E)everetteps@everettwa.gov J www.everettwa.gov/permits F'L EJECT SITE IPE-6FiBikTll PROJECT ADDRESS: 1C L--(_, elk y� BUILDING AREA(if residential,new construction, remodel,or addition) t SF x (2j'> c 1 BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED *DUPLEX D MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: •go;i8millucAL APPLIIC AT8®N I 1FOI?li Arini i CONTRACT PRICE OF WORK: $ 1 ,IL NUMBER OF DEVICES(if low voltage):• FIRE ALARM? El YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): C 11 \Z- u DESCRIPTION OF WORK: ti 1..1 r - ). 00 1.)41-)p l`C 4 \✓ 4-+YNeAditrkel - . . CONTACT u��•RM TiONI. _ TENANT NAME(If Commercial): • OWNER NAME: -�� t�- t -, I ( iii_1/4.41 ) OWNER MAILING ADDRESS.) STREET' CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: �. ---)e'S+r 0 . j€ ...�.. I CONTRACTOR ADDRESS: sTREET t k 15rY 5 CITY ry--)Oy-� ✓V"l_i .� STATE \A � ZIP‘18d- !0 CONTRACTOR PH041, c) b)---_0\1 E)C CONTRACTOR EMAIL: L i (.�(,-,e \, T�y c: ' , �( CONTRACTOR LIC.#(REQUIRED): 1.9)�j� It p C CITY OF EVERETT BUSINESS LIC.#(REQUIRED): �J� (0 Iy_ PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) _ CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: AGREEMENT:T hereby certify that I have read and examined this application and know the same to be true and correct All provisions oflaws and ordinances governing this type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That t 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 296.200 WAC. City of Everett Official Use Only FEE V 131 PERMIT# �0..•••••••. (69 / E Vti ift-etg Owner/Authorized Agent Signature Date (Revised 10/12/2015)