3316 HOYT AVE B 2018-01-31 - Laserfiche WebLink

��o�� --�� 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 _ . P��C`�' �a'�E 9��ORY�A`�'90N , PROJECT ADDRESS: ��( -: G( l,-� = L �^�.I E� L� ^ G ,� .. BUILDING AREA(if residential, new construc' , remodel, or addition) SF '� BUILDING TYPE: ❑ SFR-DETACHED ❑SFR-ATTACHED UPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL a USE OF BUILDWG: L'L �-� �i� ��c��ca��, ��uc��-a��v �na�o��°rior� CONTRACT PRICE OF WORK: $ ��'�d:'( � r1 C��G � � � NUMBER OF DEVICES (if low voltage): �� ' FIRE ALARM? ❑YES NO ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK: CONTACT INFORMATION . , OWNER NAME: �t "' 11/f�' V � ' ' TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srRee-r ` � � C� � ✓� � CITY � V �� STATE ✓� � ZIP � �/�[-� . OWNER PHONE:�� L" - 1 ,.- r�' ; OWNER EMAIL: ��G� I� � 1 �� /C2 �% �. ��C CONTRACTOR NAME: ` CONTRACTOR ADDRESS: srReeT CITY STA7E ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BU5INESS LIC.#(REQUIRED): .. _,,.��...��,., .,. ._., __.,_.. ..,....,. _..,:,. ,. ..,... :._.._._ _. ..... .__�.,�.,�, ...,...,�..... ..._.:. ,......_�.v...,_v._._._._..,.�.....,.,. _,,.Y.. . , . .��.._. .. . ..�..., _,.,... PRIMARY CONTACT: [�OWNER ❑CONTRACTOR ❑ OTHER(Please Specify) CONTA T NAME: / /� CONTACT PHONE: � ,— f, � �v`" , �! �'.�� ' � ., f`� . ' /� . � l� � `�l'�/��'r 1 �rl;/� � ( � � CONTACT EMAIL: t�- "�G'� �^��l � � 1' ,�' ��. ��CL� . CG � AGREEMENT.'T hereby cerfify that I have read and examined this application and know the same to be frue and correcf. A!I provisions of laws and or inances goveming this type of work will be completed whether specified herein or not. The granting of a perrnit does not presume to give authorify fo violate or cancel the visions of any other sfate or local!av✓regulating construction or fhe performance of consfruction. That I am authorized by the owner of this property fo perform the work for which application is made and I comply with the State Contractors Law 9827 RCW and 296.200 WAC. City of Everett Official Use Only FEE J r ;� . �` �i��) r` � v �� �� I � � PERMIT# / � � � � �� a � Owner/A thorized Agent Signature Date (Revrsed 10/92/2015)