1420 80TH ST SW COMPENDIUM INC 2016-09-15

LECA 1I PERMIT I#PLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 FAX 425-257-8857 (E) everetteps@everettvva.gov www.everettwa.gov1permits PRO PROJECT ADDRESS: 1� 7, BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: El SFR-DETACHED 0 SF ATTACHED 0 DUPLEX [I MULTI-FAMILY-#OF UNITS._ O'COMMERCIAL USE OF BUILDING: y- INFORMAT-11 ON: CONTRACT PRICE OF WORK: NUMBER OF DEVICES (if low voltage). FIRE ALARM? El YES ONO ASSOCIATED BUILDING PERMIT#Cif applicable): DESCRIPTION OF WORK: e M V ye_ e_ I&c r 1'e-e-\ - reM 4n Y-C fOWN0WNER MAILING ADDRESS: 27 01LA On- 7L41 EP,NAMEt�'*.-` TENANT NAME(if Commerc;ial), (�001 2 0 STREET �4 rn- WN1q0 S�� - zX 20 CrTy STATE V14- zip I q OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: P-n1r-y4,- rC CONTRACTOR ADDRESS: STREET Lf gt Cr ee,40r- crry Rr�)k.j STATE Zip 7�7 CONTRACTOR PHONE: 3 CONTRACTOR EMAIL: 4�() fj7 CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED).* PRIMARY CONTACT: El OWNER El CONTRACTOR El OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: AGREEMENT,Thereby 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 he completed whether speciffed herein ornot The granting of a permit does notprersume to give authority to violate or cancel the provislbns of any other state or local law regulaffng construction orthe 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 FEE 0 PERMIT# Owner/Authorized Agen ignature Dat (Revised 1011212015)