1720 75TH ST SW MOTOR SERVICES HUGO STAMP INC 2019-09-18

%' 4LECCTRIICAL PERMIT All MUCATION rE77- 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: ''1 5-41\- S BUILDING AREA(if residential,new construction,remodel, or addition) v rro SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX Cl MULTI-FAMILY-#OF UNITS: ISCOMMERCIAL USE OF BUILDING: • EIS CT)" TION INFLt AT N CONTRACT PRICE OF WORK:$ ,19 NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: (Z.1).'`ac c J- JAS C mve-" t - 2QrQQnI� 40 10CALm 04j Ztro.vA cuselmv\,C.c 4 OWNER NAME: mop%'d 56STENANT NAME(If Commercial): C-A5 OWNER MAILING ADDRESS: seer 3( Q t ) 44 if1-VE cw T �ctoc ,�� STATE ZIP 333 OWNER PHONE: 1_0(2 CLOD 210�V OWNER EMAIL: - CONTRACTOR NAME: CONTRACTOR ADDRESS: sTReer jp� ke � ,, S �j Cny r STATE •A ZIP ? V 0 CONTRACTOR PHONE: �eLS—le b L1\Q CONTRACTOR EMAIL: c:7- ,FA tt\ +►&—H , u5-w1 CONTRACTOR LIC,#(REQUIRED)` c,-CO mg,v� CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: Li , CONTACT EMAIL: q AGRFFMENT.T hereby certify that 1 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 _ 00° PERMIT# Enog-Oil Owner/Auf •-Ized Agent Signature Da e (Revised 90/12/2095)