8015 BEVERLY BLVD 2017-04-10 - Laserfiche WebLink

CITY OF EVERETT PERMIT uL NICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 ] FAX 425-257-8857 ] (E) everetteps@everettwa.gov] www.everefwa.gov/permits PRO; Er,' .. ._:. PROJECT ADDRESS: JuT ��t/ / gllcl 4Vlel , Wr9 9'f� 2o3 BUILDING AREA(if residential,new construction,remodel,or addition) I'M SF BUILDING TYPE: QI SFR-DETACHED 11 SFR ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: 64 TELE TRICAL A>PL1-q °t 11®� IINFORYVIATI�N CONTRACT PRICE OF WORK:$ NUMBER OF DEVICES (if low voltage); FIRE ALARM? ❑YES ❑NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 1,',01q05Ve127Z - CONTIia1.)FORMATION'. - QNNER NAME='` JbelNVCed.'S Y,!9e0 1/6• TENANT NAME((f Commercial): OWNER MAILING ADDRESS: STREET CITY STATE 7JP OWNER PHONE: - �y OWNER EMAIL: CONTRACTOR NAME: - CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: H OWNER 4 ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: AGREEMENT.'Thereby certify that I have read and examined this application and know the same to be true and correct All provisions of laws and ordinances govemfng this 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 local law regu/aUng construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with Me State Contractors Law 78.27 RCW and 296 200 WAC. City of Everett Official Use Only EEE D� VPEMIT# Owner/Authorized Agen S gna re Date (Revised 10/12/2095)