3232 NORTON AVE 2018-12-21 - Laserfiche WebLink

TRIG L PERMIT =F CATION I�►' , CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov www.everettwa.gov/permits PROJECT ADDRESS: L ,�: ..h a .,1 ;: }�I f1 .rh j i e I BUILDING AREA(if residential, new construction, remodel,or addition) ' SF f BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: {�`t,�ify4lifter4 � �' ;EES 1 i k'U.J "tc( I 1� i CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES (C .NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: ~ ' �a '®� o A • It sQtvikg. : +I,r,r '';; .% OWNER NAME:1t0 1.16% G TENANT NAME(If Commercial): OWNER MAILING ADDRESS STREET 450 CA,04yrekti r CITY j 4 STATE •YI ZIP OWNER PHONE: • '347° );611. OWNER EMAIL:. �rat f i • i CONTRACTOR NAME: i: I #j, ) t" ' Y'• CONTRACTOR ADDRESS:~' STREET I". 1 :tib'.. ' R ` ' CITY.a ! IV �i NaI . e Bei' STATE ''�/- ZIP S�,•1 {:A CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC #(REQUIRED): , V„ f, CITY OF EVERETT BUSINESS LIC.#(REQUIRED): A PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: r CONTACT PHONE: 'I-1213 t j 1'kVI I 'I; CONTACT EMAIL: �'I r 3 �.:.w y r l ::_, :. , AGREEMENT:I hereby certify that J have read and examined this application and know the same to be true and correct. All prole ions of laws and ordinances govoming 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 property 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 PERMIT# J . r. a cs Ii r 7 c __o[��W._Y_� caner/Au4horized Agent Signature D to (Revised 9/23/2016)