1329 LOMBARD AVE 2016-08-08 - Laserfiche WebLink

06/22/2016 WED 13: 27 FAX 425 252 1666 CM Heating 0006/006 PECTRICAL PERMIT APIRLICATI N 0 CITY OF EVERETT PERMIT SERVICES OL 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257.8810 FAX 425257-8857 1 (E) everatteps@evorottwa.gov www.everattwa.gov/permits ,'L�tl 1 'it^�*�F! ,n:',', 'i._;'arc.; 'i '." . PROJECT ADDRESS: BUILDING AREA(If residential, new conatructlon, remodel, or eddlflon) SF BUILDING TYPE: ❑ SFR-DETACHED 'E SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY -#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: 's;'ty,.�:•,�15v.�11�y,pZJiah}'��,{1 ,�r�' oyrpP� L■ yry.; L� �LF7�.(':�V,.i"�P'rY 14A L,L'R"Ve ?: .r 9rf�°In� CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES If low voltage): FIRE ALARM? ❑YES Q NO ASSOCIATED BUILDING PERMIT# If Ilcable . DESCRIPTION OF WORK; a 0 '•ti i?'.i! �1� a .r1<1,,;rhp5l i p�((}�y ,I r OWNER NAME: 1 TENANT NAME If Commercial OWNER MAILING ADDRESS! STRFET 1 CITY STATFi ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME; CONTRACTOR ADDRESS! STR"r CITY STATE ZIP CONTRACTOR PHONE: � `ICONTRACTOR EMAIL: T � CONTRACTOR LIC.#REQUIRED : y k Y OF EVERETT®USINES8 L,IC.#REQUIRED : Q PRIMARY CONTACT: ❑ OWNF-R CONTRACTOR CI OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: AGREEMENT:Thereby certify that I have read and examines this application and know the some fo be true and correct. All provisions of laws and ordb7grIces governing this type of work will be completed whether apeolfMal 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 performanoe of consttvctlon. That I am authorized by the owner of this property to perform the work for which application Is made and/ comply with the State Contractors Law ltl,27 RCW and 200.200 WAC. City or Everett Offlclal Use Only FEE PERMIT# 22� 22_ �� - Own®rlAuthorized Agent Signature Dale (Revised 9019212015) `