405 SE EVERETT MALL WAY 2019-09-05

AMON CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 J FAX 425-257-8857'(E) everetteps@everettwa.gov I www.everettwa.gov/permits XPROJECT ADDRESS: 1/06— S O'vc rc,- ` Iy`I IAM BUILDING AREA(if residential,new construction,remodel, or addition) SF BUILDING TYPE: 0 SFR-DETACHED El SFR-ATTACHED 0 DUPLEX ❑MULTI-FAMILY-#OF UNITS: ,l COMMERCIAL USE OF BUILDING: 1 L1EOTRiCAL APDL AT1®)I!1 N . X CONTRACT PRICE OF WORK:$ $ 5/5 Oco NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES jrNO ASSOCIATED BUILDING PERMIT#(if applicable): B( Sol-DD(a XDESCRIPTION OF WORK: Tyr 044)14, • - ; :, .ONTACrINFORMATION OWNER NAME: TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: +.,.c,.. El...a.>F-r,ic_ CONTRACTOR ADDRESS: STREET 7Q5 e S 22044" A CrfY �� STATE ZIP 'go 32 CONTRACTOR PHONE: CONTRACTOR EMAIL: . CONTRACTOR LIC.#(REQUIRED)• 5 . A I©?7 kw CITY OF EVERETT BUSINESS LIC.#(REQUIRED) . '1 PRIMARY CONTACT: 0 OWNER ASONTRACTOR 0 OTHER(Please Specify) �ZI Si/ CONTACT NAME: CONTACT PHONE: Zex► 406 501 t3 pey rW4 fito1.4 CONTACT EMAIL: AP le „rt^+ AGREEMENT:T hereby certify 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 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/- ----- PERMIT# 7.2 3--/ $ 0 -- (2A Owner/Authorize. ••ent Signature Date (Revised 10/12/2015)