3209 HOYT AVE 2016-09-30 - Laserfiche WebLink

CITY OF EVERT PERMIT V ETICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 FAX 425-257-8857 (E) everetteps@everettwa.gov] www.evereftwa.gov/permits ". p}R® GCT- S9`Y)E PROJECT ADDRESS: '3201ve— Aw %W i' vV d V BUILDING AREA(if residential, new construction,remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED Ll DUPLEX MULTI-FAMILY-# UNITS: E1 COMMERCIAL USE OF BUILDING: V >ELEC i 031Ce4L APPL1.CAY'@® FORYI�,�'AO➢I M CONTRACT PRICE OF WORK:$ NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES ❑NO ASSOCIATED BUILDING PERMIT#(if applicable): d DESCRIPTION OF WrL WORK: S�Lj/ c��^^Ft//�� S ' e2 c> FC S e� 5 -... ` CONTAC -INFORMATION QWNER NAM>= Vv I�Mk(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL; CONTRACTOR NAME: S F/E' CONTRACTOR ADDRESS: STREET �� ZSR/ % 5 /v I'✓ g // pJ(�n/�j/J r CIN 57L41. I,t W STATE W!� ZIP CONTRACTOR PHONE= CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED)- C14Ze 3 qK'7 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): OS s'o�T PRIMARY CONTACT: I] OWNER DrCONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: cl"rk CONTACT EMAIL: AGREEMENT.'T hereby certify that/have read and examined this application and know the same to be true and correct All provisions of laws 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 PERMIT# o, N(0 Owner/AutFiorized Agent Signature Date (Revised 10/12/2015)