4315 HOYT AVE 2018-05-21 - Laserfiche WebLink

�► ��C�`��9��1� p[��`� ,�1�'I��`�0��:9 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 _ PR�JE�`� �9�'� BId��GUi�`�9��' PROJECT ADDRESS: - .� � BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: L�SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: _` EL,EC�"F�ICAL,A�P�9CATI�I�9 OP��'OF�IVIA�'90IV CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES (if Iow voltage): F1RE ALARM? ❑YES ❑ Id0 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: \ ( ' �� - „2Gr'C'. �y�, �iil�` �J a ;�� tL��,� c�`d,� ;�,` : CONTACT INFORMATION : OWNER NAME: TENANT NAME(If Commercial): OWNER MAILING ADDRESS: s�zeer CITY STATE ZIP OWNER PHONE: OWNER EMAIL: . __. . .. _ ... ... .. ... .. ...... _. . ... . .... CONTRACTOR NAME: �� (� t/^r` �� CONTRACTOR ADDRESS: s-rReEr �{0 T ' SGL 1 ' /� C � CITY � �� •� � STATE �c ZIP � CONTRACTOR PHONE: CONTRACTOR EMAIL: ��S ��-�U�S� L�G t� e /C..�� CONTRACTOR LIC.#(REQUIRED): �i�� O� ��d CITY OF EVERETT BUSINESS LIC.#(REQUIRED): Z�7�� ...._�:....__ .-.......� .. ,., .. .._ .._:_:,.,,:._... ._, .........,. _ _.....:. ........,- .,.-.. ._. ,.:., ..�.. .. .:..: ..... ._�,-�.... ,...-...._ ..._..._ ,:.._,_., :_,. . ..-._,.._.__.�....::_ ,_:_, PRIMARY CONTACT: ❑OWNER L�CONTRACTOR ❑OTHER(Please Specify) r CONTACT NAME: � CONTACT PHONE: 3 (`�U � �r L 7 � j�v�t�' �'f� t�1� CONTACT EMAIL: AGREEMENT.�T hereby certify that/have�ead and examined this application and know the same to be true and correct Al/provisions of laws and ordinances governing this type of work will be completed whether specified herein or nof. The granting of a permif does not presume to give authority fo violate or cance!the provisions of any other state or local law�egulating construction or the performance of construction. That l am aufhorized by the owner of this property to perform fhe work for which application is made and l comply with the Sfate Contracfors Law 18.27 RCW and 296.20o WAC. Cify of Everett Official Use Only FEE � . ��t_ PERMIT# t� �-- l� _� ��„�v 1 � � � �1/(� - "7.-C�� Owner/Authorized Agent Signature Date (Revised 90/12/2095)