6707 BEVERLY LN 2019-01-17 - Laserfiche WebLink

07/10/2017 10: 17 #2357 P. 001/001 11ILECTR1CAL PER C PERM. APPLICATION ,ATIQN Iwi , .- - CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits O'R OI111 PROJECT ADDRESS: 6707- BelfA L LAA, BUILDING AREA(If residential,new construction,remodel,or addition) SF BUILDING TYPE: D SFR-DETACHED 0 SFR ATTACHED 0 DUPLEX CI MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING,: / 1: ;:�'." - - -- - .te.. - -- - •: ''`: . ..� ' CT CAL`AP�?'1.11 ATiO(iN l�ORiMAT10N. Rf. CONTRACT PRICE OF WORK:$ , boy' NUMBER OF DEVICES(if low volts e): FIRE ALARM? 0 YES 0 No ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: /ek j"C .0 Pio fg( / ADD QH"7Y ' OWNER NAME: /.M II 44 Ait4 4- (,l1 C )15So/ti TENANT NAME(If Commercial): OWN RMAtLINGADDRESS: stR r � �- /f (fV l-,ANZ Orly . % a / STATS ZIP Y 6 OWNER PHONE: Q4.... (rF mei OWNER EMAIL: CONTRACTOR NAME: ejet-A 4Jf)f f4-t J /OW/ CONTRACTOR ADDRESS: srRgar 740 41/411",^ xy, g CfTY _ mwm ZIP *.2m 7 CONTRACTOR PHONE: Y•if 42.r9 a2.1 i CONTRACTOR EMAIL: CONTRACTOR I_IC.#{REQUIRED LA: � A.!31/4/1.4.14 CITY OF EVERETT BUSINESS LIC.#(REQUI'RED)9'01 PRIMARY CONTACT: El OWNER M CONTRACTOR ,E1 OTHER(Please Specify)_„ CONTACT NAME: j CONTACT PHONE: Y Z- !� •in IL 1) 0 t/ CONTACT EMAIL: AGREMENT•Thereby cer114,that!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 bo oomplotod whether specified herein or not. The granting ofa permit does not presume to give authority to violate or once!the provisions of any other state or local law regulating construction or the performance of construction. That I em 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 FEE PEERIVIIT# E —03q. er/Author. r gent Signature Date (Revised 91Y7212015) �� PcyitA .