2006 HIGHLAND AVE 2017-01-13 - Laserfiche WebLink

I'ERiIiiIT APPLIGATIO� �UILDIN�MEChiANICAL. / PLl1M�ING / SIGN I RINKLER I DEf1�OLIT'ION 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 _. , -: . `- ' ` ' ` PROJEC'�' SI"I'E 1_NFA;RMATIOPd ::: ; ,_ ,, , _ . ..,.: . .__ ... . PROJEC7 SITE ADDRESS: OG 6 LJ l ��d �V PROPERTY TAX #: v OU S'3 1� D Qa �j G O � � -1 7 LEGAL for new construction: Short Plabsubdivision Lot No, (attach copy of long legal description) ER NAME: �G1.Y��I"� ER MAILING ADDRESS: ER PHONE: vI c�-,S^ STREET CITY � '� 1 S aV C�' �Oh11. TENANT NAME �1�q�t tav�a v�e OWNER EMAIL: Commercia STATE w� � ZIP __ q�Q �- l CONTRACTOR NAME' �'rGi�"� W i dC, CONTRACTOR ADDRESS: sTReEr ��j �L f D NE � 7 hT l ��n -w�oa�.�.r�< <,� STATE „�-/� Z�P ��o� a CONTRACTOR PHONE: �� 'Wa — 71 7O CONTRACTOR EMAIL• > T � Zg(�G� c . CONTRACTOR LICENSE #(REQUIRED : CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): � ...-. . .:._ . .... .. . . ...:.... . _ �. . ,. ... . . .... . PRIMARY GONTACT: ❑ OWNER L�1 CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: vl �j0►�Lda'►Z✓(' b CONTACT PHONE: �a-s'^ �aR'��CO S� CONTACT EMAIL: V La� �(y�. , U►M N. S G c� . C�''� ,: , , , . = BU,11 ,. Existing Use of Building: �-'GS i. �e Proposed Use of Building: Building Type: ❑SFR-Detached �FR-Attached C Type of Project: ❑New ❑Addition ❑Remodel ❑F DESCRIPTION OF WORK: j ty"t D �1/'�/ Wa, � I � </ -�' � v� r i ►� �.t �I� tr . IASSOCIATED BUILDING PERMIT # (if applicable): _ - PERMIT APPLIGATION `. _._... _ _... _ Contract Price of Work: $ � V/ � � Heat Source: ❑Gas ❑Electric ❑Other ❑Multi-Family�# of Units: ❑Commercial ❑Industrial ❑T I ❑Sign ❑Sprinkler �emofition ❑Change of Use i Vl S vt l�1�4'� �� S�A; rs �tK � Y�a ��? ACKNOWLEDGEMEN7.• I have reviewed this application and confrrm tl�e information confained herein is true and correct Work done pursuanf to this permit must comply with current federal, state, and locallaw. The grantrng of a permit only authorizes approved work and no deviations therefrom. Deviations must first be authorized in writing from the Building Official before being authorized under y circumstance. I am the owner, or I am authorized by the owner of fhis property to perform fhe work for which application is made, and / comply with the Stafe Contracto w 1(3.27 RCW and 296.200A WAC. Ciiy of Everett Official Use Only �� D �� PERMIT # o ' -�� Owner/Authorized Agent Signature Date (Revised 10/12/2015)