3200 CEDAR ST 2018-04-23 - Laserfiche WebLink

��-rR�c�� nn�� A��cA�riorv CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everetiwa.gov� www.everettwa.gov/permits ,_ � � �� ' �� PR � - _OJECT S17'E INFORMATION PROJECT ADDRESS.' � `�j�(�j- BUILDING AREA(if residential,new consfruction,remodel,or addifion) SF � BUILDING TYPE: ❑SFR-D.ETACHED ❑SFR-ATI'ACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: �J�y�' ��,y„�...rC� �it�� Q�^/yL.�`%� r. ; �, �� . � ; ; ELECTRICAL APPLICATION INFORMATION , � ,«_ N ...,., > ..._ . � v_�w . .� . _ ,� .,....- . . ,.. . .�, ,. ., .. _ CONTRACT PRICE OF WORK: $ 0�.�� ' NUMBER OF DEVICES(if low voltage):� FIRE ALARM? ❑YES ❑NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: _ , _, CONTACT INFORMATI�N OWNER NAME: ` TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srReeT ' CITY � STATE � ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: CONTRACTOR ADDRESS: srneer CIIY 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: �'Z� 2�v s� � . ��` �ds1,(/t�-�l-� CONTACT EMAIL: ��( . � � �,.� � AGREEMENT.•T hereby certify that I have read and examined this application and know the same fo be true and correct. AU provisions of laws and ordinances gove ning this type of work will Be complefed whether specified herein or not. The granfing of a permit does not presume to give authority to violate or cancel the provisions of any ofherstafe or locallaw regulating construction orthe performance of construction. That I am authorized by the owner of this property to perform fhe work for which application is made and l comply with the State Confractors Law 98.27 RCW and 296.200 WAC. City of Everett Officral Use Only FEE — � �' ��j'y�i PERMIT# `- , �r �o-/� E ��1 � �'ZIZ wner/Authorized Agent Signature Date (Revised 10/92/2015)