3003 W CASINO RD BLDG 40-25 2024-02-09

• FIRE A AR ,t,, PEF' MIT APPLICATION CITY OF EVERETT PERMIT SERVICES _� .. 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1 f I' v fr,/,1-a) 40-L4) BUILDING AREA: sq ft PROJECT TYPE: ® NEW CONSTRUCTION , ADDITION ®TENANT IMPROVMENT REMODEL BUILDING USE: `i,. , i/„,L PERMIT INFORMATION as DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$ .( c/c-)" ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): ;J A/C. ypviFfzga., DESCRIBE SCOPE OF WORK: _ PU'CoxfracArlf 4).d -2774;'g&— -:7-1.4724. ir,10,r)vcd r ,4G.•••C)• Vtle,k/s7-d. �l L 8.5 ,A/0 1/0-,14-a /tv-7,4, PLAN REVIEW REQUIREMENT Plan review by the Fire Department is required prior to permit issuance. Check the boxes below to indicaticate all documents that are being submitted with this permit application: 3 Sets of Plans showing location of fire alarm devices 3 Sets of Specifications for the Devices to be installed ,pp CONTACT INFORMATION / OWNER NAME:;,�GG s4 TENANT BUSINESS NAME(If Commercial): /�d6-�,v, OWNER MAILING ADDRESS: STREET too ` i Jo'1 C -r Vt) h de- -• COL - S CITY AF-I/i;:.4crr-/ STATE ee./J6 ZIP 94a-61 3 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:/ GCa'/1--V�c-/:- 0G%r/ CONTRACTOR ADDRESS: STREET//i..r A4/ s7 f Q 7 cITY�J LF�JT[f.� STATE `.(�ff• ZIP 76/G / CONTRACTOR PHONE:Zd6— (!3e-217,C' CONTRACTOR EMAIL: Z-A1/4o//E'er/ /4irc- 0-41• CONTRACTOR LIC.#(REQUIRED):,'- ,; , i.' ' CITY OF EVERETT BUSINESS LIC.#(REQUIRED). S ,: `< PRIMARY CONTACT: ❑OWNER ©CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: ,,,762(c 'f — 4/0 r v�J ,qz/// CONTACT EMAIL: � //E�/® fi2Ce/Pile%- G4-1,7 AGREEMENT.1 hereby certify that I 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 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 PERMIT#: /tom FA ' gb; Owner/Authorized Agent Signature Date (Revised 1/11/2019)