2 W CASINO RD 2016 BLDG B 2020-02-20

ITEC TRICAL PERMITLICATION CITY OF EVERETT PERMITVVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 j FAX 425-257-8857 (E) everefteps@everettwa.gov j www.everettwa.gov/permits 4W6 `ppb PROJECT ADDRESS: 74(� C41Lt" BUILDING AREA(if residential,new construction,remodel, or addition) SF BUILDING TYPE- El SFR-DETACHED 11 SFR ATTACHED F1 DUPLEX MULTI-FAMILY-#OF UNITS-- 000MMERCIAL USE OF BUILDING. -R A - CONTRACT PRICE OF WORK-$ CONTRACT OF DEVICES (if low voltage). FIRE ALARM? YES El NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION-OF WORK: V CON 0 NER NAME',4t_ TENANT NAME(if Commercial): OWNER MAILING ADDRESS, STREET or: CITY STATE ZIP OWNER PHONE: IOWNEREMAIL- yg; CONTRACTOR NAME: V CONTRACTOR ADDRESS: STREE7 JAY CITY 44� STATE r)V,7f Zip C7e12_jb CONTRACTOR PHONE: ICONTRACTOR EMAIL:.Pd! � CONTRACTOR LIC.#(REQUIRED).-dL� 9W ICITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: El OWNER El CONTRACTOR El OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: I CONTACT EMAIL: AGREEMENT.•T hereby certify that/have read and examined this apprication 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 ornot. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or locallawregulaffi7g construction orthe performance of construction. That I am authorized by the owner of this property to perforin the work for-which application Is made and I comply with the State Contractors Law 18.27RCWand 296.200 WAC. City of Everett Official Use Only FEE PERMIT# M E DEJ U1_1 OvvnerlAu4 Ized Agent Signature Dat (Revised 1011212015)