5120 SUNSET LN 2019-07-08 - Laserfiche WebLink

_ . � C L�C��`�G`�3aC�Ql� G°'C��v��1 aC�G°�f�OC./� �fl�f� � ` C1TY OF EVERETT PERMIT SERVICES �� 3200 CEDAR STREET, EVERETT, VVA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov� ww�n�.everettwa.gov/permits , , .. . , : ,. _ PI��JG�C��' ��1t'L �f�f�rOO L4G�VL�1`t�90.� ' ,.. _ _..._ . _.. _. PROJECT ADDRESS: I Z �(, -, f t- f Ls,w t<, �v-v'r/ %v-F} / rS Z U� - BUILDING AREA(if residenfial, new construction, remodei, or addifion) SF BUILDING TYPE:..�SFR-0ETACHED ❑ SFR-ATTACI-IED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: G;,�:_,� ..� ---- — --_—_ --- , . , ��.C�c�V[t�d�� Ir��f�d0��51'0�6e� Q�i1��Ir�1�!,`I�➢�� ' � _ ^S -- - _-"-__ CONTRACT PRICE OF WORK:$ ��:% -�— tVUIVIBER OF DEVIC�S (ifi low voltage); FIRE ALARM? ❑YES i�0 ASSOCIATED BU1LD1�lG PERMIT#(if applicable): DESCF2IPTIOI�OF UUORK: �/Z/�l�-C � (Zy� r'r r,f 1'"� `� (� 5 �i �s S � �-r 1 � ��' � Z � � rF c•� i,., , !� 5 = . :. ,:. . ; . _.. _ ,, , ' C�N'9"e4C`�' 99�I�ORIt7A'i'➢OR➢ .. ' OWNER NAME: �f"2 h G�' 'L f h S !� r TENANT NAME(If Commercial): OWNER MAILING ADDRESS: S��r�it� l�--�f r,I L�''�'� ,-(,�L��y� GTY �C�' STATE �U �C ZIP OWNER PHONE: �I�S G G �� OWNER EMAIL: •- - -•. . . .. ... .. ......: _. ... ,. ... . CONTRACTOR NAME: ��L�/ �� -'t �Z�z� �r r�: � CONTRACTOR ADDRESS: Er G' � 7 � ��/I�`_ � `Z.L) CI7Y �'�L-_ STATE � 7 ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: C�C ,:i !� L-�„ iv< CONTRACTOR LIC.#(REQUIRED): tUw �V`��Nf= � G 7� G' CI7Y OF EVERETT BUSINESS LIC.#(REQUIRED):� �,5 .._.___________ _____�__ ., _ ._ _ _....._.. ........_..._,..,.. >....... _ . _ PRIMARY CONTACT: ❑OWNER L�CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 7 2 f >'�� Z :��;�/f �� C�; � I� �-,r CONTACT EN(AIL: AGREEMEM.-T here6y certify that!have read and examined this application and know the same to be true and correct. All provisions of/aws and ordinances goveming this fype of wo�k will be compleied�vhether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any oiher stafe or local law regulating consfruction or the performance of consiruction. That l am authorized 6y fhe owner of this property to perform fhe work for which application is made and! comply with the Sfate Contraciors Lav✓98.27 RCW and 296200 WAC. City of Everetf Otficia!Use Only FEE � ''� � f� PERNiIT# � � �'��-- 1 zz / � � 1 D � ' �� �� -- 0 nw er/AufhorizedAgentSignature Date (Revised 10%12/2095)