808 LAUREL DR 2018-05-22 - Laserfiche WebLink

� 'i�L�CC��'I�.Q��L� f�Cl��v�iQ� Q��'I�aC�C�`��Co,�� � ��, � C1TY OF EVERETT PERMIT SFRVICES `��_ 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@evereftwa.gov � www.everettwa.gov/permits ,.. : .. _ :..:, , , ...:; , _ _ _ , �L�oO�Al��li' �0�'G 01�[� PR,QJECT ADDRESS: � j��,.,,,,�� t�� BUILDING AREA(if residential, new construction,remodel, or a ition) SF BUILDING l"YPE: ❑SFR-DETACHED ❑ SFR-ATTACHED DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: _ _ _ _ _ ��a��b ��u��a�� a��a�� COiVTRACT PRICE OF VVORK: $ C: C� NUMBER OF DEVICES(if low voltage): F1RE ALARM? ❑YES ❑iV0 ASSOCIATED BUILDIPdG PERMIT#(if applicable): DESCRIPTION OF WORK: �� ! �.\� �v; S� � � �� — Q�- : .. _. _ C�NTAC'i` ��e9�ORMATION. , :. OWNER NAME: TENANT NAME(If Commerciaf): OWNER MAILING ADDRESS: srREEr �,,.rLI Dt� CIiY - � STATE �✓-�� ZIP ��L OWNER PHONE: �;' — � � �;�� OWNER EMAIL: �G� I � . CONTRACTOR NAME: CONTRACTOR ADDRESS: sTrzeer cirr sTArE ziP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LlC.#(REQUIRED): PRIMARY CONTACT: �OWNER ❑CONTRACTOR ❑�THER(Please Specify) CONTACT NAME: � � �� CONTACT PHONE: �L`, _�= �"�� b( si� G � CONTACT EMAIL: �� AGREE!✓IENT.' �hereby cedity that l have read and examined this application and know ihe same to be t�ue and correc. All provisions of/aws and ordinances goveming this type of work will be completed whefherspecified he�ein or not. The grantrng of a permii does not presume to give authorify to violate or cancel the provisions of any other state or loca/law regulating const�uction or the periormance of construction. That I am authorized by the owner of this property to perform fhe work for which application is made and 1 comply wifl�ihe State Contractors Law 98.27 RCW and 296200 WAC. City of Everetf Official Use Only FEE � �O �_ PERMIT# �: - % �� ' � _z��- � � C� � �-` 2 -2 �S Owner/Authorized Agent Sig ure Dafe (Revised 10/1 J2015)