7601 EVERGREEN WAY BASE FILE 2018-02-01

��c��o�� p��u�fl� a�� oo� z �' C1TY 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 . : , . . :. ,. , , _ ,, ,..: I�l��DC��`�' �D�i'I� �G�IG��L�:��,1�i�� , PROJECT ADDRESS:~ O � � rl � BUILDING AREA(if residenfial,new construction, remodel, or addition) SF BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: '1�COMMERCIAL USE OF BUIL�ING: It —�. C�I�(�`�'L��L��fP�'I�D�Q4D�� Ql�l��fll�`P��G�I COi�1TR�4CT PRICE OF WORK: $ � � fVUMBER OF DEVICES (if low voltage): F1RE ALARiVI? ❑YES O ASSOCIATED BUILDIRIG PERMIT#(if applicabl � DESCRIPT(OAI OF IIVORK: -' ' F� � � — � = � � •'� . � � ' ,� C ,, ,. _ � GON7`AC'T 9NFORtlf1A'1'10[�i_. :: - OWNER NAME: � TENANT NAME(If Commerciaf): � (} ��?. f' OWNER MAILING ADDRESS: srReEr (� CIiY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: � CONTRACTOR ADDRESS: srReEr CI STATE '��CyL ZIP �~ � CONTRACTOR PHONE: � �� CONTRACTOR EMAIL: � � � ( N� CONTRACTOR LIC.#(REc2uIRED)� �S `' � CITY OF EVERETT BUSINESS LIC.#(REQUIRED): ` � PRIMARY CONTACT: E�WNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: � '� � —�� — �— CONTACT EMAIL; �, � AGREEMENT.'T hereby ce at I have read and examined this application and know the same to be true d correcf All provisions of/aws 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 stafe or locallaw regulating construction or the performance of consfruction. That!am aufhorized by the owner of this property to perform the work for which application is made and l comply with the Sfate Contracfors Law 78.27 RCW and 296200 WRC. City of Evereff Official Use Only FEE � �� PERMIT# --� j-� 7 ---� � � �- t 2 - O � � Owner/ fhorized Ag t S' natu Date (Revised 90/i2/2095)