2413 EVERETT AVE 2019-02-05 - Laserfiche WebLink

---- IULECCTROC AL PERMIT APPLICATION iir E,f 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 I www.everettwa.gov/permits P AECT SITE INFORM ,TIO `;: .. PROJECT ADDRESS: ;24115 £Z(j'e aI a.,0 Q5 z f 9 — BUILDING AREA(if residential,new construction,remodel, or addition) 2 SF k9. 5 06 - BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED ►= D -" 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL 'USE OF BUILDING: '-a1 eke.54„ R EO`>I'R C-AL APPLICATION INFORMATION .: :.._:: • ..... CONTRACT PRICE OF WORK'$ 31 bOD NUMBER OF DEVICES(if low oltage):. FIRE ALARM? 0 YES O ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: rAl hxd.e.... . . - CONTACT-INFORMATION . OWNER NAME: 06A Of\ r TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET /O(2_1 1y9-iik" £WL M'- cm,90 �i � STATE — Z1P 2 OWNER PHONE:3,0 /42,1— I Q �1 OWNER EMAIL: SW\'(140- " A A I. conn. CONTRACTOR NAME: 7 S� b I�y�(X,�(,,,,, u.,..„ . CONTRACTOR ADDRESS: STREET 9741\ Z1/� „Si-u + ( � / CITY L�-17W J�� (J , STATE ZIP q.s2J Z CONTRACTOR PHONE: Vi i S`j�[j CONTRACTOR EMAIL: I Li CONTRACTOR LIC,#(REQUIRED): 5l✓c,u, D LQJ�j531 CITY OF EVERETT BUSINESS LIC y#(REQUIRED), p.– PRIMARY CONTACT: h�'OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: Of /C. S 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 l 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 FEE . \,. (.7) 4.„,......–..—. T PERMIT 0 /r 71� '7F t -232___ Owner/Aij rized Agent ignature Date (Revised 90/12/2095)