8218 LARIMER RD 2018-05-22 - Laserfiche WebLink

I�L�CC��'�Q�/;�I� G'C�G��i�O`� _ �'�,�C�Q`�n�i� CITY OF EV�RETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 � FAX 425-257-8857 ] (E) everetteps@everettwa.gov � www.everettwa.gov/permits _. : , . _ .., , �'��`I� ��`1'� pR9F��Y@��e'�'�O� ' PROJECTADDRESS: Z �' ��y� �� " ,r,�,� /n�Zv,� BUILDING AREA(if residential, new construction, remodel, or addition) /Z�U SF BUILDiNG TYPE. CI 5FR-DETACHED CI SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMFRCIAL U5E OF BUILDING: ' _ .. -,. _ � ' [��C`d`fR��A� d��&°1.8��`�'9�9�! 0�9�'04�:f�A"f`IOA! . , , CONTRACT PR10E OF WORK:$ ��T 1VUMBER OF DEViCES (if low voltage): i1/o�� FIRE AL.ARM? ❑YES ❑ NO ASSOClA7'ED BUILDING FERMIT#(if applicable): DESCRIP710N OF WORK: -�� I� v„ ��-� � Di'1 /Yl GC� l -. _ . _ ,- . , _. ._ . . _.__ ,.... _ � , _ , _ . _ CONTACT INFORMATION ` OWNER NAME: ,y-t l f - TENANT NAME(If Commercial): OWNER MA1LiNG ADDRESS: sTREEr �Cr(JZ �i STATE � � ZJP �J,� OWNERPHONE: v � - 3S S= �� 5 OWNEREMAIL• , �1��rUb1ti j'�� Ga CONTRACTOR NAME: /j/�i2�•.�— CONTRACTOR ADDRESS: srReer CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERE7T BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: �-BWNER ❑ CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: ��p _ �� fj.". �� ' CONTACT EMAfL: AGREEMENT.�T hereby cerfify that 1 have read and examined this applicafion and know the same to 6e true and correct All provisions of laws and ordinances goveming this type of wo�k will be completed whether specified herein ornot. The granting of a permit does not presume to give authorify to violate or cancel the provisions of any other state or local laY✓regulating consfruction or the performance of construction. Thaf!am aathorized by the ov✓ner of fhis properfy to perform the work for which application is made and 1 comply wifh the Stafe Contractors Law 98.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE �� , 0��, PERMIT# � � � � � I ��'Do2� Owner/Authorized Agent gnature te (Revised 90/1?J2015)