3512 FRIDAY AVE 2017-06-28 - Laserfiche WebLink

`��9�� 0� � :{��5��`�� CITY OF EVERETT PERMIT 5 i-1VICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits ��0��`�' S9'r� ��'OR��'�'90P�1 PROJECT ADDRESS: � J I �� t��J�� I !'";'-x—� BUILDING AREA(if residential, new construction, remodel, or addition) ^ �� SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: �j r� ��c-r�ici�� ,��s��°a��a Ae��o��n�-rto� CONTRA.C7 PRICE OF WORK:$ �f��J NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK: E V�i�C Jr • � ��r'� Z��U �'�l�� S��V��--�� CONTACT INFORMATION OWNER NAME: ��} ��t.�- �lL�`� j��`C� TENANT NAME Qf Commercial): OWNER MAILING ADDRESS: srReer CITY STATE ZIP OWNER PHONE: �'I�� '�� n�-`'� L� OWNER EMAIL: CONTRACTOR NAME: � � r- CL �C—' a� CONTRACTOR ADDRESS: srREer ��,� �l,�I ST ST� �J i� ��Ty � / T 1 /� �(�C�� STA7E � ZIP !1`�L i n�-- CONTRACTOR PHONE: L �G�S S�� S 7`J� CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): �c1 M�MI [ C3�� I��, CITY OF EVERETT BUSINESS LIC.#(REQUIRED): OS� L� C� ,. _,uN,�=..,�,. .:,.«.. _ _,___._...,_.... .:.._�.... u..., .�.._: .. .._... ...... .... ..._:.. -. ..._..., ,, ._�:,..,�..,. .._.,___ .. ,..,_....., .., .�.. _ ...:.._ ..._.�._�...� ........... PRIMARY CONTACT: ❑ OWNER ILFCONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTAC7 PHONE: (�+"�,,� S�\� 5�� �� CP� rJ CONTACT EMAIL: AGREEMENT.�T hereby certify that I have read and examined this applicafion and know the same to be true and correct. All provisions oflaws and ordinances goveming thrs type of work will be completed whether specified herein or not. The granting of a pe�mit does not presume to give authority to violate or cance!the provisions of any ofher state or local law regulating construction or the performance of consfruction. Tirat I am authorized by the owner of this property to perform the work for which applicatron is made and I comply with the State Contractors Law 18.27 RCW and 296_200 WAC. City of Everett Otficial Use Only FEE ^ _� L �aF� PERMIT# _�___��-� �I ��' " �� OwnedAuthorized Ayent Signature Date (Revised 90/12/2095)