3002 LEONARD DR 2018-05-22 - Laserfiche WebLink

i�[�C��[30C°l,�l� pC�l��! �� Q[��'�BC� c, 1100[� CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVEREl7, WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits ` ��3��A��`� �0°l�� OI�f��7'➢�� . _ PROJECT ADDRESS: �?J'y.. �, ,. ; I � v - BUILDING AREA{if residential, new construction, remodel, or addition) � Zv� SF BUILDING TYPE: SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: � ��r�, ��c-r�ac�,� ia,��dc�� a��o�a��ot� CONTRACT PRICE OF WORFC: $ NUMBER OF DEVICES (if low voltage): /� j/ FIRE ALARM? YES ❑NO ASSOCIATED BUfLDING PERMIT#(if applicable): DESCRIPTION OF WORK: � - r = ' — �� i � �z� ' � 3 7 ' CONTACT INFORMATION ` OWNER NAME: (�: c��r�.�� /�/�, � TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srReEr 3 C�(�`� ^�--�c� �v, •:�I ^,�� .• � � CITY � . �,.L� STATE C,t/G7 ZIP j y`.C.� OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: CONTRACTOR ADDRESS: sTReer CI7Y STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVEf2ETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: O WNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: �- CONTACT PHONE: Z�6 ` 6 S� �`�S �� l`-' , CONTACT EMAIL: � �� , � � / y i c.�L ! 5�. <�� , /G �-c?. c�a�,..�. AGREEMENT.�T hereby certify that 1 have read and examined this application and know the same to be true and correct. AO provisions of/aws and ordinances governing this type of work will be complefed whether specified herein or nof. The granting of a permif does not presume to give authorrty to violate or cancel the provisions of any ofher stafe or local law regulating constructio�or the pertormance of construction. That!am authorized by the owner of this property to perform fhe work for which application is made and 1 comply wrfh the Sfate Confractors Law 98.27 RCW and 296.200 WAC. Cify of Everett Official Use Only FEE � � � �� ..� P�RMIT# ��' ,.�� / � � �� b� �� OwnedAuthorized Agent Signature Date (Revised 90/92/2015)