10121 EVERGREEN WAY GANDYS BARBERSHOP 2017-05-23

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 . �>R®�Ec-� SITE a1�11F®RN1�1T1oR1 . PROJECT ADDRESS: 10 1-24 C=E'(2,=_ W BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑SFR-DETACHED ❑SFR ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: N�COMMERCIAL USE OF BUILDING: �ZvC,. f % _ EL,EC-TRWAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ — NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES *0 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: A/\,yj l 1 iq �' l V CONTACT•1"ORMA A. 10 OWNER NAME: C TENANTc'>NAME(If Commercial): ^,' OWNER MAILING ADDRESS: STREET "1't OL W CITY STATE WIN ZIP OWNER PHONE: V OWNER EMAIL: CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET LsCv S CITY es STATE •kZIP cl CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): I < _ <j_ 03 , CITY OF EVERETT BUSINESS LIC.#(REQUIRED):(',�J3 PRIMARY CONTACT: J❑ OWNER ❑CONTRACTOR ,°MOTHER(Please Specify) CONTACT NAME: \-1 CONTACT PHONE: CONTACT EMAIL: <,'! Wo AGREEMENT:Thereby certify that l have read and examined this application and know the same to be rue and correct. All provisions of laws and ordinances governing this type of work will be completed whether specified herein ornot. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That 1 am authorized by the owner of this property to perform the work for which application is made and/ comply with the State Contractors Law 98.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE PERMIT# Owner/Authorize Agent Signature Date (Revised 90/12/2095)