1531 HOYT AVE 2019-01-03 - Laserfiche WebLink

,LECCTR CCAL PERMIT LlCATlON _.7 CITY OF EVERETT PERMIT SERVICES 1t �—% 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8890 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov 1 vvww.everettwa.gov/permits PROJECT ADDRESS: lc i' AAR•- BUILDING AREA(if residential,new construction,remodel, or addition)___/5-00 SF BUILDING TYPE: ❑SFR-DETACHED SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: I auye • IELICTi"MAIIa ; INFO-'»kT r _ .. _. .......... .. CONTRACT PRICE OF WORK:$ d 05c-t,c>.oa NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: RP,w�e 1�-/��5 e - • : � :: < CONTACT—INFORMATION. - - OWNER NAME: TENANT NAME(If Commercial): U rt'u.�sw�o � OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: ' CONTRACTOR NAME: Clark S trl` Bled ,. n AAA/ CONTRACTOR ADDRESS: STREET 77/ 2-5°"/% f /v � q62-70— cny . 1 cc t STATE kZIP CONTRACTOR PHONE: %'l 7t0 94 •-- CONTRACTOR EMAIL: - • 2 CONTRACTOR LIG.#(REQUIRED): C4�1 'Ji E .Tc%Y M/ CITY OF EVERETT BUSINESS LIC.#(REQUIRED):.3c©q PRIMARY CONTACT: El OWNER r""CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: lac 7 j -(7& -2- SaC Cdr, C/c4 CONTACT EMAIL: AGREEMENT T hereby certify that I have read and examined this application and know the same to be true and correct All provisions of laws and ordinances governing this type of work will be completed whether specified herein or not The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That I am authorized by the owner of this properly to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE VD PERMIT# E \.G1, 0 Owner thorized Agent Signature Date (Revised 90/92/2095)