3202 HOYT AVE 2017-11-17 - Laserfiche WebLink

PERI IIT PPUCAT ON ''''; ‘;.1112r4';Altill:c -r CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits IP1\OJIECT S TE IMFORMATIO PROJECT ADDRESS: 32.02- N'ociF A/ — BUILDING AREA(if residential,new construction,remodel, or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: IXCOMMERCIAL USE OF BUILDING: . I LECT:-IC bL AP'PdICAT!'I IN IIrlIT°ORG ATI1ON CONTRACT PRICE OF WORK: $ ZJ QO NUMBER OF DEVICES(if low v•tage): FIRE ALARM? ❑YES if ' 0 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: PC) 1 - 241611 30 6,-,1, )i•--- Ce-c_.u4 1 - )2t>" 26 e,.-)F. tA,s4-- Civ-cod' CONTACT INFO i\MATION .. - .. •� -: OWNER NAME: TENANT NAME(If Commercia . OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: 00 si 1y.._ c)«M'cjLL c. r/2 }n CONTRACTOR ADDRESS: STREET b p�o S 341 Ji(- 'Al)' Li,4,- L-3(r 3 CITY rio-4�S n1)L� STATE 114— ZIP cjg7 7 CONTRACTOR PHONE: M21 Spic-7375 JI 1 p' CONTRACTOR EMAIL: • CONTRACTOR LIC.#(REQUIRED):S ITL'ESE bS113 N CITY OF EVERETT BUSINESS LIC.#(REQUIR ):MISZ7 v PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (.... . CONTACT EMAIL: i AGREEMENT T hereby 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 lam authorized by the owner of this property to perform the work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE . k 0 2 . S6 PERMIT# 1 ., :i 9/7 / Owner/Authorized Agent Signature L Date (Revised 90/92/2095)