4716 EVERGREEN WAY 2018-05-16 - Laserfiche WebLink

��c��oc�a� p��u�o� aliJ��o�a�oo�� _ �; C1TY OF EVERETT PERMIT SERVICES � 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 � FAX 425-267-8857 � (E) everetteps@everetiwa.gov� www.everettwa.gov/permits _.:, , ,., ..,: _._ - . : �'f��J��`� �Q u G OI�I��I�i��i'��' � PROJECT ADQRESS: '+= �+ 1 � ,�� iJ``r� �r!' =F � ' � k�n� ~/, �� BUILDING AREA{if residential, new construction, remodel, or addition)__ SF � BUILDING TYPE: ❑ SFR-DETACHED ❑SFR-AT�ACHED ❑ DUPL�X ❑ MULTI-FAMILY-#OF UNITS: �COMMERCIAL USE OF BUILDIIVG: ��-� I_ G��(v� -- ----- —T —�,�-� — , _ .. ,,- . ��- , _ . . ✓' �'�'f�0�ll�I4,�aP�H=O�/�`�'O�V�! �9�'C��I�6��`�'O�G�9 COIVTRACT PRICE OF VVORK:$ <�''�'jliL�_ C i ; --- MUMBER OF DEVICES (if low volt(ge): I >` FIRE,�LARIi�? ❑YES [�fVO ,,� ASSOCIATED BUfLD1NG PERMIT#(i applfcable): 1�p DESCR[PTIOIV OF VYORK: �t1n/ ""�'i�-- . " '� ��f ^�,�L t ��' ' ' . .: --:. _ _. - CONT,A�C'i° AI�l��Q2�V1/�`T10N `; OWNER P1AME: —} G � � TENANT NAME(if Commerciaf): `j{�}�1� k;,t�5 OWNER MAILING ADDRESS: snzEEr /a �(f L_ =-CF N � � � M r— ��t y� ' '��I CITY V V� STATE 1.#,� ZIP OWNER PHONE:� ` `L' S � L/L�_ L OWNER EMAIL: � �jQ "' t� ' L �-�-t,��' � CONTRACTOR NAME: ' i � ' CONTRACTOR ADDRESS: srReEr CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAlL: CONTRACTOR LfC.#(REQUIRED): GITY OF'EVERETT BUSIMESS LIC.#(RE4UIRED): PRIMARY CONTACT: �OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: �Z(2�/ _ ��S� . � � CONTACT EMAIL: '')r�� - ) �� d AGREEMENT.'T hereby certify that I have read and examined fhis application and know the same t be true and correct. All provisions oflaws and ordinances governing this fype of work wi!lbe completed whetherspecifred herein or not. The granting of a permit does not presume to give authorify to violate or cancel the provisions of any othersfate or local law regvlafing construction or the performance of construction. That l am authorized by the owner of fhis prope�ty to perform fhe work for which application is made and l comply v✓ith the S!ate Contracfors Law 98.27 RCW and 296.200 WAC. City of Evereft Official Use Only FEE S�- -S O /� �tT�-o� - � t � J i � -- _�`J `�� -- - OwnedAutfiorized AgentSignature Da e (Revised 90/12/2015)