1822 ENGLAND AVE 2016-08-03 - Laserfiche WebLink

03/21/2016 MON 15: 13 FAX 4252521666 CM Heating 1002/003 PLECTRICAL PERMIT ARLICATION CITY OF EVERETT PERMIT SERVICES $200 CEDAR STREET, EVERETT, WA 98201 y p (P)425-257-8810 FAX 425-257-8857 1 (E)everetteps@everettwa.gov www.everettwa.gov/permits - i;,'i�t�A�ii+;'!7f,"i��'n"413,n f°.il;�f.��`tw�siZ�� I,;'t. �4y .;';. •t,,. '.v.i{;' i. J.�Y P11,1' Ir ATIO 1 PROJECT ADDRESS: Q BUILDING AREA(If residential,new construc n, remodel,or addition) OF BUILDING TYPE; ❑ SFR-DETACHED SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#017 UNITS: ❑COMMERCIAL USE OF BUILDING: CZTRICA4'APP�.�GAT)fON.�NF0 4VIA-n N CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES If low volts e FIRE ALARM? ❑YES G7 NO ASSOCIATED BUILDING PERMIT# If a licable : DESCRIPTION OF WORK: 06114TACY INIFOR11 "NON ' OWNER NAME: TENANT NAME If Commercial): OWNER MAILING ADDRESS; STREET CITY STATE ZIP OWNER PHONE: O OWNER EMAIL; CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET ILA Cray STATE ZiP c 6 CONTRACTOR RHONE. O CONTRACTOR EMAIL: CONTRACTOR LIC.#REQUIRED: CITY OF EVERETT BUSINESS LIC. Rr-w rD 09)- PRIMARY CONTACT: ❑ OWNER IMCONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE; ' I r J KahA) !j I CONTACT EMAIL: AGREEMENT.Thereby certify Chet 1 have read and ekdmined this app/lcatlon and know the some to be true and correct. All provlslons of laws an rdinances governing this type of work will be completed whether specified heroin or not The granting of a permit does not presume to give authority to violate or cohcat the provisions of any other state or local law rAgulatlrtg con8tructlon or rhe performance of constructlon. That i am authorized by the owner of this property to perform the work for which application Is made and/ comply wlih the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE °0-110° PERMIT Ownsr/Authorized Agent Signature Date (Revised 10/12/2015)