602 48TH ST SE 2018-01-11 - Laserfiche WebLink

� �LEC1"R�C/4� PE�,MIT �4PPL��/4�T�Of�I 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 PROJECT SITE INFORMATION PROJECTADDRESS: �(�Z, �'� � Sd-- S�_ �L'�(2�• L✓,9- �� BUILDING AREA(if residential, new construction, remodel, or addition) F io Z� BUILDING TYPE: �SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI- AMILY-#OF UNITS: � ❑COMMERCIAL USE OF BUILDING: ---- � � E RICAl� APPLICATION INFORMATION CONTRACT PRICE OF WORK:,$ t ;' , NUMBER OF DEVICES (if lowjvoltage): . FIRE ALARM? ❑YES -�- t�C1V0 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: i,✓ ,�z R� ja,e,�c CONTACT INFORMATION OWNER NAME: (,� �o„K �n•i-�,�-i•i S?> TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srrte� J (?(? M K o S -e'tr;�w� S�° ZtJ I 'oS U CITY ��t�-i I'1"�—� STATE �✓i�S�i1 a�K`W yl ZIP y�5 �.� 7� OWNERPHONE: �12 — 3 V-- �6�6 OWNEREMAIL: r��rn�'✓vv C"U • ��x,I. �ci�� CONTRACTOR NAME: 0 4. CONTRACTOR ADDRESS: sTREET CIN STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: y 2S - `'�S O - ��, �6 ��v�c��-o�i �1r�e jL�i/S F i' CONTACT EMAIL: c�.�n D 1.'L•� � mc�r o�. �a� AGREEMENT. T hereby certrfy that I have read and examined thrs application and know fhe same to be true and correct All provisions of laws and ordinances governing fhis type of work will be completed whether specified herein or not The granting of a permit does not presume fo give authorify to violate or cance!the provisions of any other state or local law regulating construction or the performance of construction. That I am authorized by the owner of this property to pertorm fhe work for which application is made and I comply with the State Confracfors Law 98.27 RCW and 296.20o WqC. City of Everett Otficial Use Only FEE IS� -�-- (,{�)a�.�l ��,�rp,r;�s�s ,6� PERnniT' �L " ��x�c�,.-�-;v-� �'izNsdee y'�i�/i � E �� ` �o � Owner/Authorized Agent nafure Date (Revised�0/i?J2095)