Laserfiche WebLink
x. ,LEC 1I;RIICAL PERMIIT ,- LlC ATQ©N <br /> : CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425257-8810 I FAX 425-257-8857 ] (E) everetteps a@everetiwagov] www.everettwa.gov/permits <br /> I<e' <br /> • • �c - <br /> • biaradt!gVi <br /> PROJECT ADDRESS: & a 3 A- AU U-2✓-c \. 1 <br /> BUILDING AREA(if residential,new construction, emode r addition) SF <br /> BUILDING TYPE: ❑SFR-DETACHED El SFR ATTACHED l] DUPLEX ❑MULTI-FAMILY-#OF UNITS: <br /> USE OF BUILDING: � _ • <br /> �A�,,yn j�A ,y��*' lg��{ry�,®�..q�yq..:.u. <br /> •::.*.;1. <br /> _.' ,_. .... : . .. .':. .bb4'9.9 11®ll tl.� �®II.A411 a.�I'Y;11_ al.....:..11';:..,- <br /> CONTRACT <br /> . <br /> CONTRACT PRICE OF WORK:$ �ij 00() <br /> i <br /> NUMBER OF DEVICES (if low voltage); <br /> 'FIRE ALARM? ❑YES ,CNO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): \ L,Q L" 0G,2 <br /> DESCRIPTION OF WORK: v Dc)-� .\___S 02A� G ``t <br /> C, k 2 V L2-- CAG• sz a -t) 1MOc-,1n �( LtS <br /> :G L. <br /> CONTACT too.,o 4.—riOid :. . -- _ _ - . <br /> Q)ll(NEI NAME �= .r-yam 1181101.0 ENANT NAME(if Commercial): <br /> OWNER MAILING ADDRESS: STREET i a7 \a,�- <br /> 3 f- A U`e_ � /� <br /> . STATE L`C. . ZIP ``('� �l/ <br /> CITY (J`Q-e_ <br /> OWNER PHONE: LLOWNER EMAIL: • <br /> •... •.. <br /> CONTRACTOR NAME: .. D G ''C- ✓-,' 1-1---C-L <br /> CONTRACTOR ADDRESS: STREET (f 2e cLA--\r\ ( fJ j \ <br /> cm Gr STL �. \� STATE ZIP ,+( tS („ <br /> ONE: — U CONTRACTOR EMAIL: .....5--)\3 1 -\- C 01-- ,( –�, <br /> CONTRACTOR PH -,--A---- 3 I d�-( Cc r {� <br /> CONTRACTOR LIC.#(REQUIRED)-VE�._Z_I E-Q 10 3 b CIN OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT:,� OWNER LI CONTRACTOR El OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: /-0-5c1��� — C7 S C.( 1 <br /> 56- <br /> (7Af— Q l (D'- \/� CONTACT EMAIL: 664 { K--\ /"/Ce)(' F C <br /> AGREEMENT::T hereby certify that l have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this <br /> 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 <br /> local law regulating construction orthe performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and t <br /> comply with the State Contractors Law 18.27 RCW and 296 200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> L- — <br /> PERMIT# <br /> fl — ) b E ( too - 0(A< <br /> . ---ir-Aiirell ........1., <br /> •' er/Authorized ••e Oature Date . (Revised 10/12/2015) <br />