6513 ELLIOTT WAY 2018-01-08 - Laserfiche WebLink

� � �L��Q�� 8� ��,0�� CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98209 (P)425-257-8890 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits _ _ �� ar��n��o�� ' PROJECT ADDRESS: �J�/� �llj�% (,G'ct/�� BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: i�-D(J �j .`� ELEC'i'FtICAL APP��CA'H'IOfd �IdFOlZIVIA7'901V CONTRACT PRICE OF WORFC: $ NUMBER OF DEVICES (if low voltage); FIRE ALARM? ❑YES ❑Id0 ASSOCIATED BUILDING PERMIT#(if applicable): DESCR(PTION OF WORK: � (�i ' ' " � � y1.Z � -��'\Gi� ' ` CONTACT INFORMATION . _ _ l, OWNER NAME: � , ��S�G" TENANT NAME(If Commercial): OWNERMAILINGADDRESS: sraEEr �j � ,�'i ��0'� l/L�l/I CITY /-�� STATE V✓� ZIP %�lj�J1 OWNER PHONE: `"�Z>'Zl2"�l��PC OWNER EMAIL: G CONTRACTOR NAME: CONTRACTOR ADDRESS: s-rReer CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REqUIRED): CITY OF EVEF2ETT BUSINESS LIC.#(REC2UIRED): PRIMARY CONTACT: ❑OWNER ❑ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: AGREEMENT.�T hereby certify that/have read and examined this application and know the same to be frue and correcf. AlI provisions oflaws and ordinances governing this type of work will be completed whether specified herein or not. The granfFng of a permit does not presume to give authority to violate or cance!the provrsions of any otherstate or local law regulating construction or the performance of construction. That(am authorized by the owner of thrs property to perform the work for which application is made and I comply with the State Contracfors Law 18.27 RCW and 298.200 WAC. City of Everett Official Use Only FEE � � 1�� . PERMIT# . 5 '� �1 /-� �� l�l � l ' f�� Owner/ horized Agent Signature Date (Revised 10/12/2095)