Laserfiche WebLink
. .��9zs.�30�.o�$ ���� <br /> ��.��-���c�� ���n��� ,��L�c,��r�c�rv <br /> C11Y OF EVERETT PERMI7 S�RVlC�S <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P}425-257-8810 � FAX 425 257-8857 � (E)evereiteps@everettwa.gov' www.everettwa.gov/permifs <br /> _ _ .. J.. . _ otU+. . ' <br /> . . �1�Q:l�4T SI'�'E�:p1��;Q_R�IVI:�1T1.0,11j;r`.�- . . . . . - <br /> .l.�. .'`r ..i.� �•.1�..:�: Gi <br /> r.....�..� ..... ...1.�):....t:. �:. ....�..... ..1..w ..... ..... � - ' _ ' <br /> :.......s a..�.�.. .� .. r. �. . f .:t!•.v. . . . •.........4.....r.. _.�.�... ._ ... <br /> PROJECTADDf2ESS: Q- � • ti� <br /> BUILDING AREA(1f residential,new construciton, model,or addition) SF ' <br /> BUILDING TYP�: ❑SFR DETACHED ❑SFR AITAGHED ❑DUPLEX CI MUL71-�AMILY-#OF UNITS: �COMMERCIAL <br /> US8 OF BUILDING: ��,��G EVE • <br /> � . . • `"I:��T� ICAL:A�...pk. ...TI'ON_ ...ORIVI ,,;i,,.o�.`,, ..�,. .•'. - <br /> .�'.. !�. /� ���'`' I.#. a ';', <br /> ;:� <br /> .�. �, -/� <br /> •2.:.. 3. . ..I.•.•�.1. ;. .;�. ivl'.'..f .:S':!�. <br /> CONTRACT PRfCE 0�WORK:$ • <br /> h1UMB�R OF pEVICES if low volta e:� <br /> Fl1iE ALARM? ❑YES NO <br /> ASSOCIATED BUILDING PERMIi'#(if a licable: <br /> DESCRIPTION OF WORK: <br /> , _7', �. _ -_Y. ._. _ _. ' _ . . `QONTACT�IN�ORt1�lATION.' ''. . .. . . ; , .,.. :......: <br /> -,_ <br /> OWNER 1VAME: � 7ENANT NAM� If Commercial: � (p <br /> OWNER iVIAILING ADDRE55: sre�r ,�QX �j � <br /> CIiY L STATE �/� 7J /Z �Z2�/ <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRAC70.R NAME: � �(.� /,l /(J <br /> CONTRACTORADDRESS: smeer PO �D�C <br /> cnv //� /G srn�� z�r 20 <br /> CQNTRACTOR PHONE: -2 �- � CONTRACTOR EMA1L: f}y2). /Y?��i2 / ! , CD/1'1 <br /> CONTRACTOR LIC,#(REQUIRED): ��NL�C "'�D z CITY OF EVERETT BUSINESS LIC.#(RE4UIRED):Q�O <br /> PRIMARY CONTACT: CI OWNER �1 CONTRACTOR ❑OTHER(Please Specifyj <br /> CONTACT NAME: CONTACT PHONE: Z�-73 b—�rjL�� <br /> • ��N N►S C�.bin1 CONTACT EMAIL: D� J1��S.Lt KO�(I 0 KI�1/1/�1 T. c=.U/Y� <br /> AOREEMENT T hereby cerllfy thaf l have read end examined thls appNcation and know the same to be frue aad correcf. At!provislons of faw.s and oro!lnances govem/ng thls <br /> lype of wnrk wlll be completed�vhether speclfied hereln or not. The gientfng of a pemtft does not presume to glve authodty to vlolate or cancel fhe prov/stons of any othersfafe or <br /> locallawregulaNng canstrucNnn orlhe perlormance ofconstrucNon. That l am aufhorized by the owneroffhts properlyto penorm the workforwhich app/kaHon Is made and l <br /> comply►vld�the Sfafe Contractors Law 98.27 RCW and 288.200 WAC <br /> CltyofEverettORlclal Use Onfy <br /> • ��'����,�e <br /> PERMlT# <br /> � -1 -� � ;�dC�' �C�-(' <br /> Owner Au or zed Agen Stgnature Date (Revlsed 90H2l20?5) <br />