508 74TH ST SW 2017-01-13 - Laserfiche WebLink

. � vp� --- ��c�� r��o��a��i CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/perm�.its ��O��C`IT' S!`TE 1F'�FO��A�°106�1 - PROJECT ADDRESS: ��s � 7'� � < —�� C.- �G �' ` < � � BUILDING AREA (if residential, new construction, remodel, or addition) ��G�lv ��i'l�� BUILDING TYPE: �"SFR-UETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY -# OF UNITS: ❑ COMIUIERCIAL USE OF BUILDING: �7�`�'.- %Z� j/�C�= EI�EC'I'RIC�L �PI�L9CA°T90N O�FORN1/4TIOIV CONTRACT PRICE OF WORK: $ �D� . `ry`� NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑ YES ❑ NO ASSOCIATED BUILDING PERMIT # (if applicable): DESCRIPTION OF WORK: J��/C�%C �fl�� 1 U //1,� 5%I�'LC'-_- /j,�.�� '�L% i�S'Zt� '�� A-1 � �� .�4-l/2� __ ` CONTACT INFORMATION OWNER NAME: ��j{�� y1 �� TENANT NAME (If Commercial): OWNER MAILING ADDRESS: srREEr �� 7 �✓�`- � _� ' �` f��', /`�� ,, ,d CITY C.� 1' E✓ic�' STA7E K/Y�r ZIP �i OWNER PHONE: �, '�r � ^ 7�� OWNER EMAIL: CONTRACTOR NAME: �C�%�S`%�� CONTRACTOR ADDRESS: sTReer CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC, #(REQUIRED): CITY OF EVERETT BUSINESS LIC. #(REQUIRED): PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: CONTAC7 EMAIL: AGREEMENT.� T hereby certify that l have �ead and examined fhis application and know the same to be frue and correct. All provisions of laws and ordinances gvveming this type of work wiIl be completed whether specified herein ornot. The granting of a permif does not presume to give authorify to violate or cancel the p�ovisions of any other state or /ocal law regu/ating consfruction or the pe�formance of construction. Thaf 1 am auihorized by the owner of this property to perform the work for which applicatron is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. Cify of Everett Offrcia/ Use Only FEE > � r� � % PERMIT# � � co0�— ( `{ � (Revised 90/12/7_095)