1126 E MARINE VIEW DR 2017-01-13

. PERMIT APPLICATIO� BUILDING 1 MECHANICAL I PLUMBING 1 SIGN / SPRINKLER ! DEMOLITION 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 SITE ADDRESS: I PROPERTY TAX #: l 1'Z �� n�.�z.� r� �d �� n� LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) ` ` CONTACT INFORMATION ' OWNER NAME: �0+�-� N�Z �� FL�^ T>0 ysL'` TENANT NAME (If Commercial): OWNER MAILING ADDRESS: srReer CITY STATE Z�P OWNER PHONE: 3 Z-3) 4--� ^ C��1 Z� OWNER EMAIL: VTRACTOR NAME' ,(�S 8� J-t `' )C 1C� Gn� �C� VTRACTORADDRESS• sTReEr I�- � 1� '�' vJ' �c� �� CITY �}'L�. US �/ L t-� STATE ZIP j U Z / � VTRACTOR PHONE:�-Z� 3 ��7 -- I�O`] CONTRACTOR EMAIL:�� iV V�I �� '��" -� 1 l— , G� `�" �TRACTOR LICENSE #(REQUIRED): �c��i� 7 %i G�L� ��- CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): MARY CON , � _ __ _ TACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) VTACT NAME: CONTACT PHONE: CONTACT EMAIL: : ` , BUILDING`PERMIT APPLICATION ;: ' _: =xisting Use of Building: Contract Price of Work: $ �7 � 'roposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other 3uilding Type: FR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-# of Units: ❑Commercial ❑Industrial -ype of Project: New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use )ESCRIPTION OF WORK: �7 � �2� �� ., yl 9 �g �!1 Q �c� O� �� . � � ��b' �' � � �-'�� A CG�' S � yL b. n fl C ?-+ i i,•� �-Q �� TG6 G� �.,� C.� � / �-. � � � -L,L � � � A � � C-�-� 4� � �� t�✓, i� �ZLd"�'1 �+'i 6 �1 � i� Si'0 �-L CEi �ci"a � r�i� �l� �A�'�� ' �' .4 S�,� Q. i- i S�b � n� C.�' �SSOCIATED BUILDING PERMIT # (if applicable): ACKNOWLEDGEME'NT: 1 have ieviewed this application and confirm the information contained herein is true and correct. Work done pursuant to th�s permir musr compry w�rn cument federal, stafe, and local law. The granting of a permit only authorizes approved work and no deviations therefrom. Deviations must first be authorized in wrifing from the Building Official before being authorized under any circumstance. I am the owner, or I am authorized by the owner of this properfy 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 On/y PERMIT # � I (��:�- �'�� (Revrsed i0/12/2015)