1014 ANGLE LN 2019-02-05 - Laserfiche WebLink

joiW =LCCCTRICCAL PERM➢T A=711CATION r CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 J FAX 425-257-8857 J (E) everetteps@everettwa.gov J www.everettwa.gov/permits PROJECT ADDRESS: I u\4 IAS Nle Lat,t E j roc-- LAA $7A t BUILDING AREA(if residential,new construction,remodel, or addition) rC$i derli;a t SF 2 Z oo BUILDING TYPE: T .SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX ❑MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: rCSn(�t,yti�. $l Y1A = • ItLEO 'I CAL APDL O; TiiINI INl ®li )t 9fPION .. • CONTRACT PRICE OF WORK:$ NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: rtvair c c eleCA-ri q-ot cidc -pure&i e 4 addi;nc5 2- etelc lt;ana.fj lly# . `i4-urr tO ' •Ft!r161,G li9kS il.N-pt,e3durrixyr, 3 ou4 etS chctivra,ct 4 elcis 'n5 'xri* -h W i fn vu ' .t.0 +1c fes C d infAs , 12.,v vr<.t 4 `., .:cor4TAcT: 1FORMMATWN OWNER NAME: JGt„nj(. -Roc TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET {`PCS.50)( -SS Cny Et/tit/A-4 WPC— STATE U/3(1% ZIP Cth Z� 3 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: % o r-k - g 1Wt'elt' EttcA-v c. �n c c CONTRACTOR ADDRESS: snzmar �2 (74 - 5L' ' - SE. CITY EWPC.i44 STATE lW A ZIP CONTRACTOR PHONE: 47 tV - 322:4 CONTRACTOR EMAIL: C CONTRACTOR LIG,MREQUIRED): NOR R e GGileadS .RR D): CITY OF EVERETT BUSINESS L1C EQUPRE l6k1}- PRIMARY CONTACT: El OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 1.47,0,, - 51-4 - 322 . J {v= pa,YY, CONTACT EMAIL: i 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 l am authorized by the owner of this property to perform the work for which application is made and 1 comply with the State Contractors Law 98.27 RCW and 296.20'0 WAC. City of Everett Official Use Only FEE PERMIT# Lce, 4-Ro-e i (I p- C E n12- Owner uthorized Agent Signature Date (Revised 10/12/2015)