1531 LOMBARD AVE 2018-05-22 - Laserfiche WebLink

�.�—� C�L�C�C��G��C��L pC��v�i Q�1� /��I�L�IiC�Q��o � ' � CITY OF EVERETT PERMIT SERVICES ��L � 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-88'10 � FAX 425-257-8857 � (E) everetteps@everettwa.gov� www.everettwa.gov/permits , . _ . : , , G'IF��JC�C��! �Q�'L �[�lC�oOC'3�La`1�QOG�1 PROJECT ADDRESS: /,�3 / L 0 M ��2„D �L BUILDING AREA{if residential,new construction, remodel, or addition) SF BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTFlCHED �DUPLEX ❑ MULTI-FAMILY-#OF UNITS:___ ❑COMMERCIAL USE OF BUILDING� f`� e� C� ___ — - _ GL�L��II L�O�� IPfPd0��l4ll�h� DIr�I��G�3L�`1��1 _ _. CONTR,4CT PRICE OF WORpC: $ `� �ZJ Y PVUiVIBER OF DEVICES (ifi low voltage): F1RE ALARM? ❑YES NO ASSOCIATED BUILDIiVG PERMIT#(if applicable): DESCR(PTfOIV OF VUORK: �QL�/�f1//l �-�Z F�-S S?'/e/ %C�. �/�� l.� fz L�— ON Q r/c.`�'Lh�40 , �7�4� .��2s oN�y, e P�t,� c�o-�-K, _ . - _ _ _ - CON7'AC'T 99d�0ItIVIAT10t�. : -.. -.: OWNER NAME: C�u^� �/Q�G�G ��iJ� TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srrzeer �� /3 � ,f C�7y IR/C G�LVJ STATE !/v� ZIP �Q� � OWNERPHONE: ZS� � Z� ��logS� OWNEREMAIL: CO/t?�Dl27eD� � /�f7k30, �D/tiL CONTRACTOR NAME: �Lut- /Q. l ��v . . - " � � �4,E-C' 2 2/C (� �-- CONTRACTOR ADDRESS: sTREEr Z�� 3 Z �`Z.� �l' � CITY ��Nd/"�J STATE (it!�( ZIP /Q v Z.(p CONTRACTOR PHONE: Z�� Z 2� Z9 CONTRACTQR EMAIL: `J o cC � �� C'� �'K L GC S� /Z� � CONTRACTOR LIC.#(REQUIRED): (�G[��jT f Q C[TY OF EVERET SINESS LIC.#(REQUIRED):�,5.3 g ..-_.�>.,. .:. __.�.r_....... ., . . __.:.,:.-.. ....,-..............,,... . _._. ...:.. ,.�__.,.. . ..-. -..:_- .,, ..,._ -.. ,.... ---_ ...._.. . . .__:,_ ..�... .:-..__v_, ._.._....�... _: , - ._....., ._.,_.:_... PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) � CONTACT NAME: CONTACT PNONE: �� jZ7 Z � : �� CONTACT EMAIL: 6'� � �Jyyr Lr�,r-f��` AGREEMENT.�T hereby certify that/have read and examined this application and know the same to be true and correct. provisions oflaws and ordinances governing this type of work will be completed whether specifred herein o�not. The granfing of a permit does not presume to give auth o violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That I am authorrced by the owner of this prop to perform the work for which application is made and I comply with the Sfate Contracfors Law 98.27 RCW and 29620o WAC. � / " � City of Everett Official Use Only FEE �. , , . l)� % PERMIT# !� �G �� ,f ?1 /--� . ' � Owner/AufhorizedAgentSignature Date (Revised 90/17J2095)