6506 CADY RD 2017-01-13 - Laserfiche WebLink

� � , , _._ _ _ _ __ _ , . � - � r � � '�. `! .�` _ . - _ _ 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/permits PROJECT SITE INFORMATION PROJECT ADDRESS: �j j �j �� BUILDING AREA (if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY -# OF UNITS: ❑ COMMERCIAL USE OF BUILDING: � ,.�< <,.,` ECTRICA APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ �(� �a NUMBER OF DEVICES (if low volta e): FIRE ALARM? ❑ YES ASSOCIATED BUILDING PERMIT # (if applicable): DESCRIPTION OF WORK: I`, �� r� J C G�'� CONTACT INFORMATION OWNER NAME: �� TENANT NAME (If Commercial): OWNER MAILING ADDRESS: s-rRe� C-� S� ;�, � CfTY �l�t,-�,� STATE ZIP (� OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: , � _' � ( CONTRACTOR ADDRESS: srReer � `j � CITY � Ki I' `�-i� STATE ZIP �� CONTRACTOR PHONE: — � �'; CONTRACTOR EMAIL: � C_v� �� .�,1)C �Ic` vz� � l-� �� C �� CONTRACTOR LIC. #(REQUIRED): — . ��' V CITY OF EVERETT BUSINESS LIC. #(REQUIRED): % PRIMARY CONTACT: OWNER CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: } _ CONTACT PHONE: � �.�-' �-� � � .�r ��` t � ��,.�� CONTACT EMAIL: AGREEMENT.� T hereby certify fhat l have read and examined this application and know tl�e same to be true and correcf All provisions of laws and ordinances governing this type of work will6e 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 construcfion or the pertormance of construction. That l am authorized by the owner of this property to perform fhe work for which application is made and I comp/y with the State Contracfors Law 98.27 RCW and 296.200 WqC. AgentSTE nature Date City of Everett Official Use Only FEE � �_ PERMIT # E 1 Co < < -- OS� (Revised 10/12/2015)