Laserfiche WebLink
. �a2g25-,�o1a�i a�7� <br /> ��,����B�AL� ���I���` ������,��`��� . <br /> CITY OF'�VERETT P�RMIT SERVICES <br /> 3200 C�f�AR STR�ET, EV�RETT,WA 982�9 <br /> (P}425-257-8810 ( FAX 42s 2�7-as57 � (�}everetteps@everettuva.gov� www.everettwa.gov/permi#s <br /> _ •...•_ :3:•.. ;:;:r •��- -- - =r�- - -<: - - _, .. . - _ :.T;: <br /> `•i� _ <br /> O:D �:'1'•.S <br /> �R � ���.:.�1l.,�.�1iN1 '�'i <br /> {. p' <br /> � <br /> '�' .Q <br /> .�...: <br /> .4�._ .�;�.�:. <br /> �J: P:']f3M1.P.ri:' 1:. ..1:91�::l.Y. n4• ' <br /> AROJECT A[]p12�SS: �� -- - - - - <br /> BUIL�1t�G AREA(if resictenEial,new construction,re►nad I,or addiflon) SF ' <br /> i3UiLD1NG'1'YP�; f]SFR DETACHED CI SFR-ATf'ACHED CI DUPI.�X CI MUI.`C(-�AkVIEL,Y-#OF UNITS: �CUMM�RCIAL <br /> us�o��u«.nrtv�: ��'� G �1/��7T' • <br /> �!}dr,',f:���•�i_ ?�a;r:a• �in �.y.,.:._�„-:,. _ _ _ , . <br /> ' i:y;::i ;3'1:.}+r.,rrt•`••�—•I:f <br /> ,: _ ���..�TRr �;��"����;� A.�T�.v_ ..o.. ., .. :�,:. ; <br /> :� A , R�1�� �t��{(�/�TpON'�'� <br /> � a�. <br /> :Y8 �. <br /> .;'':� s'S;, <br /> .� �� <br /> •, ._.. <br /> _ n,r : . , �' :•. �{�� <br /> �....:....., :�n., -�• <br /> ....:. . . . <br /> �i�s1:}: _ _ c�L...�..a,K.:s:C.Y[.N..4.L�. -.���ciL4•�:n•:ry•.i._. S,,< Si.Z�.�..•:•'�C.la c.�t•...3� ::tj:.i:". �.,t�3�.;.- i'1�� r��ili.tl} <br /> cpNrRACT PR[cE a�wo�.�c:�. .,,%� DZ� � <br /> NUIVlB�R OF DEVIC�S ifi(ow vottage :� <br /> F1RE AtARM? I�Y�S NO <br /> ASSOCIAT�D BUILpiNG PERM[T# if a pltcable: <br /> A�SGWP�'iON OF WORK: <br /> •-- <br /> ' -.. . . - . . . � � . .:Y:� . .. .. . .. . ... � . <br /> , .� � � _ � � �,Z:,OM`�ACT�INFOR.lIi�AT10N:�'��-� • � � <br /> - - - - - ,._, - <br /> OWNEl2 NAM�: � TENANT NAME if Commerclal}: � (� <br /> OWNEFt IVtAII:iNC ADAR�SS; s�eer ��C � � <br /> �� �— �a,�in/�- z�� Iz -zza7 <br /> OWNER PHONE: OWf��F2 EMAIL: <br /> CONPRACTO.R MANl�� � GJ /C.� <br /> CON7RACTORADDRESS: 37REEf �d $�1� <br /> OIIY (/( I� �J STAT�� 2(P �L/ , - <br /> CONTRACTOf2 PHaNE: '�j"2 '7'" � CONi'RACTOR ENEAIL: /�"I�I. ��r1� � � C���} <br /> CONTRAG'FQR 1.IC.#jf2EQUIREp): ��rV� '�a,z, GiTY OF EV�I2ETT BUSINESS LIC.#(REQUIREb):�a <br /> pR1MARY Cdril7ACT: ❑OV1lNER ~ �CON7FtAGTOR CI a7HER(Pfease 5pecify)�Y <br /> CONFACTNAIVf�: CONTACTPFiON�: 2(�-'73 fj"lpS"�.tl� <br /> • 1��'11�1�i S L��.b�l/ corrr�c-r�nnar�.: p� �1S.C�OW� �;I�'w'1 T. L�oI� <br /> AGRF�N1Eh1T 7hereby ceriify that!have read and examined thls appllcafTon and lmQw ihe same to be frue and carrect Ap prov�lons aflaw.s and ardlnances goveming lhis <br /> type of wark will he complefed whefherspecifred herain ornot. The granHng of a permif doas not presume to give authorifyto vialafe or cance!fha pmvlslons of any ather sfa�a or <br /> local law regulatfng conslruction or the performance af consfruci/on. Thaf!am autborhed by the owner oithis properly fo pe�form the work for svhich app�rcallon is mada and 1 <br /> comply with the State Contracfors Law 98.27 RCW end 29&200'WAC. <br /> City ofEveretf Offfcial Use Only <br /> FEE � � <br /> u��'v I� r <br /> PERMiT# <br /> /C/7 � � ��� � � <br /> OwnerlAu or zed Agen Signature Dafe (Revised 1D/�2/209b� <br />