1113 MAPLE ST 2018-05-22 - Laserfiche WebLink

��L� ��.�9�1 ��e�Q�� CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov� www.everettwa.gov/permifis _ - �� s�� ar��'�� PROJECTADDRESS: �'1,j M14��- c�l �C.�G�` (/J�R ��`�� BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: _ ELEC7�RICAL.�# �H�OCA°'�'��Id I�dFORIVIA7"90N CONTRACT PRICE OF WO K: $ NUMBER OF DEVICES (if I w voltage): F1RE ALARM? ❑YES ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTIOId OF WORK: /��\t� I�C i� ^ 2+-'v/�YiL � CONTACT INFORMATION OWNER NAME: �' '�j ' `-17 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: s�ueEr }��3 �� '��-�--T CITY �i V��% � STATE W''T ZIP `�j'�V OWNER PHONE: �S a 3 v� '- �I��`� OWNER EMAIL: •- .. ... . _..... CONTRACTOR NAME: 11�'�, I� �vv��-, CONTRACTOR ADDRESS: sTREEr � CIN STATE ZIP CONTRACTOR PHONE: CONTRAC?OR EMAIL: CONTRACTOR LIC.#(REQUIRED): CI?Y OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: AGREEMENT.�T hereby certify fhat I have read and examined this application and know the same to be frue and correct AIl provisions oflaws and ordinances governing this iype of work will be completed whefher specified he�ein or not. The granting of a permit does not presume to give authority to violate or cance!the provrsions of any otherstate or local law regulating const�uction or fhe performance of construction. That 1 am authorized by the ownerof fhis property to perform fhe work for which application is made and l comply with the Sfate Confractors Law 9B.?7 RCW and 296.200 WAC. City of Everett Official Use On/y FEE � _ PERMIT#�� ^ C� I � �---� �- E � Owner/At��ed-�gerrt Signature Date (Revised 90/92/2095)