3621 HOYT AVE 2018-05-21 - Laserfiche WebLink

��C��I��L ��f�i Q� �,��i�8�/�`1�8�� CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov� www.everettwa.gov/permits ��J��`� �,9�'� 8��9�6�i�`�'A��' _ PROJECT ADDRESS: �(�`�� ' .:q=1 � -�(� iL�� — � �'-�- � 'L-�'� BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: 1�-SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: ��`9'Ra�A@��O�A�9�N 9��f�Glfl�'�"��N CONTRACT PRICE OF WORK: $ �1.��C' NUMBER OF DEVICES(if low voltage): F1RE ALARM? ❑YES �NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 2��c�-�� U`— �-- o '�:R-��.�i� �� 2 U �C C-� ,. CANTACi° INFORMATION , OWNER NAME: S'�1�2--1�L�l� �2. j i��-t� TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREer CITY STATE ZIP OWNER PHONE: �j��_� - ��j'�" ��-C' OWNER EMAIL: CONTRACTOR NAME: ` c�� LtC"��l ' CONTRACTOR ADDRESS: srReer � �C`�� l�)�:�� '�(�9� L�1. Z, CITY STATE �� C'� ZIP �� �U�ZCr t_ CONTRACTOR PHONE: �S- ��L�- �j l 2 J CONTRACTOR EMAIL: •rJ�Z�S-;�u�l/�`f�'�•,�'(��` � `� t�+{-�n0•�i9��-1 CONTRACTOR LIC.#(REQUIRED): ��-�-�L 2-��' ��(f i Q J CITY OF EVERETT BUSWESS LIC.#(RERUIRED): �%'��`�71"I Z ..:,_.:�, .. ..... .. _, .�,,�.,.. :_....:.. ......._...,,., . ,..,,.. ...:...,. ,.,._.<.: �._ ....,.. . , .:..:. ,.,.:... _.. .,,_... _..,....,_._.... . . _. .,. ._�_._. . ,....,.., _..... PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: ��,5-__:�S �( _�'Z j 2 �� �,r\1L�j��fl�,( 1�0�\"�`� CONTAGT EMAIL: �S:�L��i �t'�*'-l�%�.i: �4iNe� .�_�; AGREEMENT.-T hereby certify thaf I have read and examined this application and know the same to be true and correct. A/1 provisions of laws and ordrnances governing this type of work wilf be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel fhe provisions of any ofher stafe or local!aw regulating construction or the performance of construction. That!am authorized by the owner of this property to perform fhe work for which application is made and! comply with fhe Sfate Contracfors Law 98.27 RCW and 296.200 WAC. City of Evereit Otficial Use Only FEE . � � � 0 � ��-- / PERMIT# r' � ---�- � � i��-�� i �' � Z - 1 'Z - t�> Ow�thorized Agent Signature Date (Revised 90/1?J2015)