Laserfiche WebLink
��[�CC'`1�G�3��aL� �I���u�iQ� C�l��i���Q�doO� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits <br /> __ �r������ �u�°� u�m�����u a�� _ <br /> PROJECT ADDRESS: j LU� c �uz�2.7 i :�,'�ti« �_,�`- 5�.�� S� �v.. - W�/} y�f;Zc�3 <br /> BUILDING AREA(if residential, new construction, remodel, or addition) �U" SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: COMMERCIAL <br /> USE OF BUILDfNG: D(,��7- �a':�,� n.u <br /> _ <br /> — - �. <br /> ���c-r�aac�� �,���r���ao� Q����a��roor� <br /> CONTRACT'PRICE OF WORK: $ $ 2 0�� -� 2�'� <br /> NUMBER OF DEVICES (ifi low volfage): <br /> F1RE ALARM? ❑YES �O <br /> ASSOCIATED BUILDIIdG PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: �e��-'�^+'� � w• ,���e ��' <br /> ' . CONTACT INFORMAi'ION ` <br /> OWNER NAME: EA�r� �►(Z.C��� Sf TENANT NAME(If Commercial): $c��T �/vG.�} <br /> OWNER MAILING ADDRESS: sTREEr �� S"/.�,n.�,�c T� <br /> C�7y STATE ZIP <br /> OWNER PHONE: �'�lS� 75�� �J Z G S� OWNER EMAIL: <br /> CONTRACTOR NAME: r.� �y�� --L �Z cZ.r►z � c ( <br /> CONTRACTOR ADDRESS: sTREET / `'I Z ��� � '� S) � <br /> CIiY "r �f�b C=�\'�v !V'\ ��j•-4- STATE �,r._. � ZIP ` �� I G <br /> CONTRAC70R PHONE: �I Z�= 3ji� - ��9� CONTRACTOR EMAIL: o r @ ti4«�-+��G u�*+�� . *.►eT <br /> CONTRACTOR LIG#(REqUIRED}: f IJ1✓►'�.M CG! `�1 L3 Cs2 K CITY OF EVERETT BUSINESS LIC.#(REQUIRED): L�' <br /> ............:. ..�..:.. ..;,...,::,. _ . ..:.: ...,._.,.. . ...�,:,.., ._.- .:..... ,.�,. ....,-...._....... . ,_..:.... ..:.. ,,..., . = - <br /> .,... ._.. .�....:.._. . . .... .......� ._. ....... ... <br /> PRIMARY CONTACT: ❑OWNER CONTRACTOR ❑OTHER(Please Specify) v � <br /> CONTACT NAME: CONTACT PHONE: ��Zj- 3�G� `jJ`l4� <br /> J4,� (;�i}„�,,,�,Y►ti CONTACT EMAIL: JB � �d,o,,.,,.�e,c�c�-iw� • ,,i rs' <br /> AGREEMENT.'T he�eby certrfy that l have read and examined this application and know the same to be true and correct. Al!provisions of laws and ordinances governing this <br /> type of work will be complefed whether specified herein or not. The granting of a pennit does not presume to give authority to vrolate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That!am authorized by tl�e ownerof fhis property to perform the work for wllich application is made and! <br /> comply with the State Confracfors Law 98.27 RCW and 296.7_00 WAC. <br /> Cify of Evereit Official Use Only <br /> FEE <br /> � I I � j.�'� <br /> PERMIT# <br /> ��� ► � � � ��2���� <br /> O utf ' e AgentSignature Date (Revlsed'10/12/2095) <br />