2615 OAKES AVE 2017-07-13 - Laserfiche WebLink

�LECT=AL PERMI T � PLICATION CITY OF EVERETT PERMI VICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 FAX 425-257-8857 1 (E) everetteps@everettwa.gov www.everettwa.gov/permits If OJEC l`I' IT 1NF®1RY�� PROJECT ADDRESS: ,' BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: J(SFR-DETACHED D SFR-ATTACHED D DUPLEX D MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: , . ...., _. - °. . ..`_„t�EG'Y'RI _AI�:A>��L.I�A'li9®G�9 ➢4'�F®R6UI�TIOA1 CONTRACT PRICE OF WORK:$ NUMBER OF DEVICES(if low vol f ge): FIRE ALARM? D YES O ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: -FEE J)Ek- G A -., ONTACT:IN ORMATION == f,DWNER. C NAME; a TENANT NAME(If Commercial): NER MAILING ADDRESS: MEEr CrIY STATE 71 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET r � 1 CITY STATE ZIP CONTRACTOR PHONE; 4'145 ") � 1CONTRLACTOR EMAIL: CONTRACTOR LIC,#(REQUIRED): VC)Q�- CITY OF EVERETT BUSINESS LIC.#(REQUIR ); s PRIMARY CONTACT:M DOWNER MONTRACTOR D OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: [A ;.T CONTACT EMAIL: AGREEMENT.-Thereby certify that I have read and examined this application and know the same to be tare and correct.All provisions of laws and ordinances governing this type of work will be completed whetherspecified 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 I am authorized by the owner of this properly to perform the work for which application is made and/ comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE PERMIT# owner/Audi 1zedAgentSignature Date (Revised 10/12/2015)