8517 7TH AVE SE 2017-09-25 - Laserfiche WebLink

AFUGMATON CITY OF EVEREl I PERMIT SERVICES 3200 CEDAR STREET, EVEREI f, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits _ PROJECT SITE.INFORMATION PROJECT ADDRESS: 05r_1 'n4 �} 2a BUILDING AREA(if residential,new construction, remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 4&MMERCIAL USE OF BUILDING: 0 ELECTRi AL..APPLICATION INFORMATION [NUMBER ONTRACT PRICE OF WORK:$ OF DEVICES(if low voltage;. FIRE ALARM? ❑YES �' ❑ O ASSOCIATED BUILDING PERMIT (if applicable): DESCRIPTION OF WORK: Lin u W � o 0 .CONTACTINFORMA i dON OWNER NAME: 'r. TENANT NAME(If Commercial): ^� OWNER MAILING ADDRESS: sTREET��/� CFFY STATE W( l ZIPOIE62P0 OWNER PHONE: �Q �/ OWNER EMAIL: � TE�Srvl Y-'1 �$h f71f'1 ?CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET Cn� / STATE ZIP CONTRACTOR PHONE. �-3 7 *— 00V CONTRACTOR EMAIL: 6 , CONTRACTOR LIC.#(REQUIRED): l �{,P CITY OF EVERETT BUSINESS LIC.#(REQUIRED) —t7 PRIMARY CONTACT: ❑OWNER ONTRACTOR ❑OTHER(Please Specify) �q CONTACT NAME: CONTACT PHONE:L��- 2-1— � , 1 t'11-1 iV► I CONTACT EMAIL: 1C ,COM 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 governing 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 regulating 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 the State Contractors Law 18.27 RCW and 296.200 WAC_ City of Everett Official Use Only FEE PERMIT#