2002 ADAMS AVE 2018-04-19 - Laserfiche WebLink

��'��, �� CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov J www.everetiwa.gov/permits .,;; . ;.. _,.. , . ._ . . .. ,, ._ _._ - Pi�O�E�"�'SI"i'E INFORiV1A°f'ION_ ; . PROJECTADDRESS: `;::() S L� �U— � N" cl .3 BUILDING AREA(if re idential,new construction,remodel,or addition)1��' n/� F'd � �6`� BUtLDING TYPE: SFR-DETACHED ❑SFR-ATI'ACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BU(LD[NG: �51�[��'~j � , .. _ .:. - --.. . . ,. . ` ELE�7'RICAL APPL.ICA'TIAN �I�I�ORIVIATION CONTRACT PRICE OF WORK:$ � MUMBER OF DEVICES(ifi low voltage):� F1RE ALARM? ❑YES I�J NO ASSOCIATED BUILDING PERMIT#(if applicable): QESCRIPT[�N OF WORK: ,C % "-" S . ,, _ . . . . . . .. , � -. ; . : ; .; - .. ..CONTACT INFORMATION. . OWNER NAME: � , ?ENANT NAME(If Commercial): OWNER MAILING ADDRESS: s�eer �� a--�— , In_ CfTY � °�I � STATE/�{/F� ZIP � � OWNERPHONE: ZJ� S OWNEREMAIL:�NO�, /�L! G i� I�- � � CONTRACTOR NAME: � CONTRACTOR ADDRESS: srRe�r ' p�7y � STATE � ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: ' CONTRACTOR LIC.#(REQUI ED): CITY OF EVERETT BUSINESS l.IC,#(REQUIRED): PRIMARY CONTACT:� OWNER u rc0 C�NTRACTOR ❑OTHER(Please Specify) CONTACT NAME: ��N� �t�;,�� CONTACT PHONE: e �2 �g 2, CONTACT EMAIL: AGREEMENT.�T hereby certify that 1 have read and examined this application and know the same to be true and correct. AU provisions oflaws 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 fo violate or cancel the provisions of any other state or loca!law regulaSng consfruction or the pe�formance of construction. That!am aufhorized by the owner of this property to perform the work for which application is made and i comply with the Sfate Contractors Law 98.27 RCW and 296.20o WAC. City of Everett O�cial Use Only FEE . �s � PERMIT# . �. 3 -2� -i � E � g4 3-l�� OwnerlAuthorized Agent Signature Date (Revised 90/92/2095)