704 MADISON ST 2018-05-22 - Laserfiche WebLink

?_�� �/f;� �I��C�'�G�QC�aL G�CI��v�� a[�i�1�QC�Q`�d�G�� �✓'��f, C1TY OF EVERETT PERMIT SERVICES � �,,/� �� �� 3200 CEDAR STREET, EVERE�17', WA 982D1 (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits , ,. ,.: -. _.., , _ ,.. P��AL��`u �95�'C� dV�11��L�6�7��('IiO� ,. . . _.. . . _. _ . , _ ROJECT ADDRESS: � �; S� GC ��CJ C�� ) BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDfNG: _.._ G@�G�SPIf�O��a��"�.��ll B�I� ��df��G#��`1�D�G� , , _ _ _ _.. COIVTRACT PRICE OF 1hJOR1�.: $ ' � `� 7'� NUMBER OF DEVICES(if low voltage): FIRE ALARPVi? ❑YES �'NO ASSOCIATED BUILDIPdG PERMIT#(if applicable): DESCRIPTION OF WORK: ' QG ' � i � � � S ;— : .5 � v Cv;'�`evrT DU !�e . , : _ , _ , _. ; �QIdTACT 9NFORMATION :: - � � OWNER NAME: , �L /� � 1¢�'1 TENANT NAME(If Commercial): OWNER MAILfNG ADDRESS: srREEr � ; � � ��7 � CITY ' !��T I STATE � � ZIP (� '` OWNER PHONE: LJ � �SU SG1,�Z OWNER EMAIL: ° CONTRACTOR NAME: �j (�(� , � CONTRACTOR ADDRESS: srReEr CIN STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(RECIUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRINIARY CONTACT: ❑OWNER ❑ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: � CONTACT EMAIL: AGREEMENT.�T hereby cerrify that 1 have read and ex.amined this application and know the same to be true and correct All provisions oflaws and ordinances governing this type of N✓ork willbe compleied whether specified herein o�not. The granting of a perm"tc does not presume to give authority fo violate or cancel the provisions of any other state or locallaw regulating construcfion or the performance of construction. That l am authorized by the owner of this property to perform fhe work for which application is made and 1 comply with the State Contracfors Law 98.27 RCW and 296200 WAG. Cify of Everett Otficial Use Only F�E � . � I�� -� PERMIT# �' � , �� z�� b ��' 1�,� , Owner/ h rized Agent Signature Date (Revised 90/12/2095)