3200 CEDAR ST 2018-04-23 - Laserfiche WebLink

�CT'RI�A,L PERMIT AP�A`TION CITY OF EVERETT PERMiT SERVICES 3200 CEDAR STREET, EVERETT, WA 9820� (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov� www.everetfinra.gov/permits ; , , .., , - ' ' PROJECT SITE INFORMATION_ PROJECT ADDRESS: 2Q?} S� BUILDING AREA(if residential,new construction,remodel,or addition) SF ' BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: ��Y' �,� /' � ' ' ELECTRIG,pL APPLICATION INFORMATION ; ' CONTRACT PRICE OF WORK: $ b �� - � NUMBER OF DEVICES{if low voltage): FIRE ALARM? ❑YES ❑NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: . _ . . . ,.. CONTACT,INFORMATION . OWNER NAME: ` �,C�, TENANT NAME(If Commercial): ,� OWNER MAILING ADDRESS: s-rRe� ' CfTY STATE 7JP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME- CONTRACTOR ADDRESS: sTRe�- � CIN STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑OWNER u0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE; 2 ,r,� �--�� ��d.frLG(' ��tc/f/-I.L� CONTACT EMAIL: � p�,l �� AGREEMENT.•T hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this fype of work willbe completed whether spec�ed herein ornot. The granting of a permit does nof presume to give authority to violate or cancel the provisions of any otherstate or local Iaw regulafing consfruction or the performance of construction. That l am authorized by the owner of this property to pe�form the work for which application is made and l comply with the Sfate Contractors Law 98.27 RCW and 296.20o WAC. City of Everett Official Use Only FEE � � �2�� PERMIT# � _ E I�� -�21� OwnerAuthorized e ignature Date (Revised 90/12/2095)