Laserfiche WebLink
• • <br /> ELECTRIC ri <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> ,1.P)42&.-287-88.10.i. FAX ,(E)everettg,Ds.. everett ia. ovj wux.wKeverettwa.govlpermlts <br /> • - p��g g��c }, , <br /> _ .'.' T,'YY�Y�/��i Y�l#VQ;;�YY\iW��gi- i� ;.; • <br /> . p <br /> .PROJECT-ADDRESS:1 1 Z Z tA' <br /> CA:\'C\AR,. ' VI.P. .Ve Y72. Y VA .01e)2O( <br /> BUILDING AREA(if residential,new construction,remodel,or addition) (4.-.p r 1 P?f SF <br /> BUILDING TYPE: ❑SFR-DETACHED 0 SFR ATTACHED ❑DUPLEX IN MULTI-FAMILY-#OF UNITS:g I 0 COMMERCIAL <br /> J t SEOFEUlLDING: A • '' !" r !' \ <br /> . - . : 8. T ".A i1%B ©H <br /> CONTRACT PRICE OF WORK;$ `1 1000 <br /> NUMBER OF DEVICES(if low ye Rage): x-14 <br /> FIRE ALARM? ``2YES 0 NO <br /> 'ASSOCIATED BUILDING.PERM,'; (If# :a.pI c' y et <br /> enwna , t <br /> ODESCRIPTION OF WORK: (' e, 5lt"v),ce c .k .�c1-6Y-,, ckiNct ,,y) G-tr a ,. 1 i <br /> 1 <br /> 9 <br /> P. <br /> 0WNER NAME: t -Vc->-,reti- {- ur5 ' AA i"y - : :ANTRtE iflI1E'O:CommA cratj. {�iC:. ,a ry <br /> ^� 1S <br /> OWNER MAILING ADDRESS: STREET f P * , Fs ' <br /> LI enY t_-YE'.. r-a - STATE WA ZIP CeB a...% <br /> OWNER PHONE: Z J ' -.q.222 OWNER EMAIL: <br /> ONTRACTOR NAME: S 'Q A 1.. " 6 • ' "A 1,. .A I <br /> CONTRACTOR AD 'STREET 7 1 CD< 9 (-.)% i <br /> T crw it to V �S�TATE �{ A zip Lp <br /> CONTRACTOR PHONEQ4 Z JA''\t a,Q 1(j �[CONTRACTOR•EMAIL: C.-(y( 17:( ' sl ms't` 1yr).ii;p:.(! kkk� <br /> CONTRACTOR UC.#(REQUIRED):5 SI- \I\I airip CITY OF EVERETT BUSINESS LIC.#(REQ ED•OS O 79 1 1 <br /> PRIMARY CONTACT: ID OWNER CONTRACTOR LI OTHER(Please Specify) <br /> CONTACT NAME: ICONTACT PHONE: tiULJ . 1. kc S % r <br /> i -5{PCI, `(4 I ‘r-1---z COATA'C,T EMAIL,: r oil+ r citY) 114---1-bn,Z51 Wk (. <br /> AGREEMENT-T hereby certify that l have read and examined this application and know the same to be true and correct. All profusions of laws and ordinances governing this <br /> 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 slate or 1 <br /> local law regulating construction or the performance of construction. That/am authorized by the owner of this to perform the work for which epplieat/on is made and l I <br /> comply with the State Contractors Law 98.27 RCW and 298.200 WAC. <br /> City of Everett Official Use Only <br /> FEE g <br /> f <br /> PERMITS# y� <br /> i /, Lt? E \ \ / r � S i <br /> Owner/Authorized Agent 'r nature Date. (Revised 10/12/2015) <br /> yy <br /> 1 <br />