2302 112TH PL SE 2020-05-21 - Laserfiche WebLink

LLEC 1I-R CAL PERMIT LllCATlON CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 J FAX 425-257-8857 I (E) everetteps@everettwa.gov J www.everettwa.gov/permits _ PROJECT *QI't.II_N'FORMAT1O eitROJECT ADDRESS: A1 oz //2 TH ,(„5-4=" BUILDING AREA(if residential,new construction,remodel,or addition) SF // BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED ,TTACHED 0 DUPLEX MULTI-FAMILY-#OF UNITS: 7 0 COMMERCIAL USE OF BUILDING: ,f aik i , it OLECTRIC L A.PPUUCATlON 1NF®RNIATI ON `FCONTRACT PRICE OF WORK:$ a -i 000,4)./ ' NUMBER OF DEVICES(if low voltage): 8 FIRE ALARM? ❑YES ONO ASSOCIATED BUILDING PERMIT#(if applicable): it- C' ;7t77 2/o DESCRIPTION OF WORK: i4 r-I e i0 A;//2/l4 ' /I al '- •1 4'ivt 1/4///5. 7Q/•<;,attia S P. I / / - . : ':.:: ..C,ON - _ ,TACT';INFORMATION- ._ lOWNER NAME: ,,Z(v A//4d 1i li7/4/anX 4 of%NANT NAME(If Commercial): OWNER MAILING ADDRESS: STREE CITY STATE ZIP OWNER PHONE: OWNER EMAIL: ?CONTRACTOR NAME: ///7/N1/rt--- 4(7-/ / P (-�:Pil/!"7 g CONTRACTOR ADDRESS: STREEr Op0 /357`4/77v, c5E �J _ CITY , K(N L✓�J 11C✓1 STATE 7,19/47ZIP .qi//fig, ---/ CONTRACTOR PHONE: eVo' 778' - 1412 i/ /'aCONTRACTOR EMAIL: ' CONTRACTOR LIC,#(REQUIRED): //0-1//7/- 5 9'72 ty/✓" CITY OF EVERETT BUSINESS LIC_#(REQUIRED): 11114 I t PRIMARY CONTACT: 0 OWNER lizi CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: �W.'- T78 - 4/9r'L/ STti/f V_/65/7-7/,i effi)V CONTACT EMAIL: 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 . AI \0009 PERMIT# S �� /4(5749"6/(TV /4'//5//I F ( 61- 1/ 1 Owner/A orized Agent Signature Date (Revised 10/12/2015)