4811 S 3RD AVE 2018-01-05 - Laserfiche WebLink

�� CC�`��I� G'Cf��i�lQ`� Q��C�Q��oO� CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits �fft�� 9�� 06'��G��'9�1�9' . _ PROJECT ADDRESS: �-�'�( 1 -, -��«t (�/� ��,y.�,{� BUILDING AREA{if residential,new construction, remodel, or addifion) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: -� � _ ��cr�ac�� ac��'on� ar��a��-�o� � CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES (if low voltage): FIRE ALARM? �YES ❑ NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: ��t;.5 ' d �� l .rc.1' �;(� �-, L 1� � .f-. rvl' �. �- C. I G ( v� (-� �� '�L21,'�-Q./r 'Y C�t/�.C�'�� /.� � r�—.� _ ` CONTACT INFORMATION OWNER NAME: D��.� � f7�1Q� l�Q I t�� +-'� �f� TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTReeT '�-��( i � j�y C�7y �l�?'yt;� STATE � ZIP (��G OWNERPHON :yZS ��Q �U OWNEREMAIL: Y��(�i�1-k � 4� �� 'i CONTRACTOR NAME: �J CONTRACTOR ADDRESS: sTREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERET7 BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: AGREEMENT.�T hereby certify that I have read and examined this appiication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be completed whefher specified he�ein or not. The granting of a permit does not presume to give authority to violate or cancel the provrsions of any other stafe or local law regulating const�uction or the performance of construction. That!am authorized by the owner of this property to perform fhe work for which application is made and I comply wifh the Sfate Contracfors Law>8.27 RCW and 296200 WAC. Cify of Evereit Official Use Only FEE � �� . �o PERMIT# �f;,� , ; / 1 � �. �� 1� �� Owner/Au horized nt Signature Date (Revised 10/12/2095)