4529 W VIEW DR 2016-08-31 - Laserfiche WebLink

PERMIT APPLICATION BUILDIN�IIECHANICAL / PLUMBING / SIGN /�INKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES E� 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits '' ' - PROJECT SITE'INFORMAT.fON `' _ PROJECT SITE ADDRESS: �� Z� �_ �, PROPERTY TAX #: LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) _ ` .CONTACT IN,FORMATION OWNER NAME� ��j �� s� TENANT NAME (If Commercial}: OWNER MAILING ADDRESS• sTREeT ��j'�� ).% �''�, � `�' , ,,�w' � CITY / �/V�' STATE ZIP � � '� OWNER PHONE: OWNER EMAIL: _ _ . .. . _ . ... . ___ . . . _ .. .. _ _... . ... . . __.. .. . CONTRACTOR NAME� '� ��( Y ��y �//�+��; !�flc�- � ,.r�_--��r-- CONTRACTOR ADDRESS: srReeT �` Lj � - CITY 'L - / �j STATE - ZIP ��"�� CONTRACTOR PHONE: J�� (}�( CONTRACTOR EMAIL: "�Z' , C�y,i:.t. • CONTRACTOR LICENSE #(REQUIRED): �� ,, CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): � PRIMARY CONTACT: ❑ OWNER I�CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: } ., ��-� ' �,� � CONTACT EMAIL: '-=,s� �-rC�" ' _ %K � ' � �,, ' �-Trrt ; t,.r=. t , ; _ . .. .. ;:' BUILDING'PERMIT APPLICATION ' _ _.._ n Existing Use of Building: i fitt;�u�zr- Contract Price of Work: $ Proposed Use of Building: L• Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Qetached ❑SFR-Attached ❑Duplex ❑Multi-Family-# of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition C.�Remodel �7Repair e]T.I. OSign �Sprinkler ODemolition ❑Change of Use DESCRIPTION OF WORK: � � q �r ��.�,- �;.��1' c�►�.�'' cuzc� i vt a�� C�Us''i-�' �� 1'C:�% _ ASSOCIATED BUILDING PERMIT # (if applicable): ACKNOWLEDGEMENT.• I have reviewed tliis application and confirm the information contained herein is true and correct. Work done pursuant to this perm�t must compry w�rn current (ederal, state, and local law. The granting of a permit only authorizes approved work and no deviations therefrom. Deviations must first be authorized rn writing from the Building Official before being authorized under any circumstance. 1 am fhe owner, or 1 am authorized by fhe owner of this property to perform the work for v✓hich application is made, and / comply wifh the State Confractors Law 18.27 RCW and 2s6.200A W,4C. City of Everetf Official Use Only PERMIT # -�-��-,� �i�oa-��3 Owner/Authorized Agent Signature Date (Revised 10/12/2015)