8420 XAVIER WAY 2020-04-03 - Laserfiche WebLink

LLECTRIICAL P RIII A r-TIJCATHON rf CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 J FAX 425-25778857 i (E)everetteps@everettwa.gov 1 www.everettwa.govlpermits PROJECT ADDRESS: 84,..)...0 A v 1 p r BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE:.SFR DETACHED 0 SFR ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: blr)-..0 J 17 -- 1t, AI 1 • Mk .100 041.1 AL: t® aON CONTRACT PRICE OF WO' :$ 50 0 0 NUMBER OF DEVICES(if to •ltage): - j-y FIRE ALARM? I:YES NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: )a/ I P L ' -od a S crIrc.. 31A\(, kiKkA eiL\TOU4-C ' OWNER NAME: -Qe c J%-v 'e I I TENANT NAME(If Commercial): OWNER MAILING ADDRESS: swsar l aO CITY JI/f YGtSTATE ZIP OWNER PHONE: OWNER EMAIL: q G J CONTRACTOR NAME: b y�C, � .(c.e ... . . . �C� .. .. Iic. > 0 ' G f L CONTRACTOR ADDRESS: STREET, CRY STATE ZIP CONTRACTOR PHON c);5)31 )_-o9/?c / CONTRACTOR EMAIL: We�}-[�e C .Q C CCt �}�` J ' CONTRACTOR LIC.#(REQUIRED): � ) IJ lam- } �� CITY OF EVERETT BUSINESS LIC.#(REQUIRED):x c 3 2.(0' u PRIMARY CONTACT: 0 OWNER -f CONTRACTOR 0 OTHER(Please Specify) CONTACT AME: CONTACT PHONE: 401.5 - G/ f-7I C ,p,-) CONTACT EMAIL: C� / .I a 1s )'--C-24"." ' AGREEMENT: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 I am authorized by the owner of this properly 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 isih PERMIT# F D3c Ower 7 orized Agent Signature Date( (Revised 10/12/2015)