8708 4TH PL SE 2018-01-16 - Laserfiche WebLink

�� p��o� ��o�a�� 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 _. �9��E�'� �a`�� 0��'�1��.�`�'O�N' _ _ _ PROJECT ADDRESS: �� /�� j�i " BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: �FR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: ��c�-�ec,�L ��ac��o� a�v��a�� CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES (ifi low voltage): FIRE ALARM? ❑YES �O ASSOCIATED BUILDING PERMIT#(if applicable): DESCR(PTI;N OF ORK: � CONTACT INFORMATION : OWNER NAME: ��- �l ,t 7 � � TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srREEr t � � � l! L cirv � �' STA7E �.t,� ziP 7� C} OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: � �,f CONTRACTOR ADDRESS: sTReer CITY 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: � CONTACT EMAIL: AGREEMENT.�T hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of/aws and ordinances governing this fype of work will be completed whether specified herein or not The granting of a permit does not presume to give aufhority fo violate or cancel the provisions of any other sfafe or local law regulating consf�uction or the performance of constructron. That I am authorized by fhe owner of this property to perform the work for which application is made and I comply wifh the State Contracfors Law 98.27 RCW and 296.200 WAC. City of Everett Ofiicia!Use Only FEE PERMIT# ,� . _ l , � z � � �� l 3� . �- Owner/Aufhorize Agent Signature Date (Revised 90/12/2095)