3207 COLBY AVE 103 2022-01-27 - Laserfiche WebLink

PERMIT APPLICATION BUILDING / OCHANICAL / PLUMBING / SIGN / SPOKLER / DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 WASHINGTON (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits CITY STATE ZIP 4? 20 OWNER PHONE: OWNER EMAIL: S"'^cf CONTRACTOR NAME: 44 CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: ICONTRACTOR EMAIL: CONTRACTOR LICENSE #(REQUIRED): CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): PRIMARY CONTACT: KOWNER ❑ CONTRACTOR ❑OTHER (Please Specify) CONTACT NAME: Z-r- CONTACT PHONE: y Z S~ L-b VV l�l CONTACT EMAIL: 1 5f-e c) `��Ir �•oG� ASSOCIATED BUILDING PERMIT # (if aoalicable): /llCT- 1 F)d I AUKNOWLEOGEMENT., 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 PERMIT M oz o Ow Authorized Agent Signature jDate (Revised 1011012018)