3219 GRAND AVE 2016-09-28 - Laserfiche WebLink

02/29/2016 MON 12: 27 FAX 4252521666 CM Heating U003/003 RECTRICAL PERMIT AALICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 FAX 425-257-8857 1 (E) everettgps@everettwa.gov I wwwaverettvia.gov/permits 0JtCT:81TE INIFORMATION PROJECT ADDRESS.- BUILDING AREA(if resIdentlal, now construction, remodel,or addition) SF BUILDING TYPE! 1:1 SFR-DETACHED VSFR.ATTACHF-D M DUPLEX 171 MULTI-FAMILY-#OF UNITS: 0-COMMERCIAL USE OF BUILDING: iE LEq.TkiqAL'.A NINFORMATION. 0PLi,q4Too1' I CONTRACT PRICE 01; WORK: $ NUMBER OF DEVICES LIf low volts ge): FIRE ALARM? C3 YES E3 NO ASSOCIATED BUILDING PERMIT# If applicable): DESCRIPTION OF WORK: Ewo u_ t6NTACT]NIFORMATIOW,- OWNER NAME: rk T)Q�� T2NANT NAME if Commercial' OWNER MAILING ADDRESS: STRUT 3,:Zj !�f _L�naaI24_ CITY 5 TATE ZIP OWNER PHONE: JOWNER EMAIL; CONTRACTOR NAME; CONTRACTOR ADDRESS: STREET I L4 Is-19�9-Da-d L'30 14 cz-.Q _e__Aj_e� STATE zip 2- 412LIL-We.2 CONTRACTOR PHONE: CONTRACTOR EMAILt rna4��J CONTRACTOR LIC.#(REQUIRED); ICITY OF EVERETT BUSINESS LIC.#(REQUIRED" PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT AME: CONTACT PHONE: NAX , ICONTACT EMAIL; �i4j, AGREEMENT.,T hereby cortiry that I have read and 6X"mInod this application and know the satno to be true end correct, AN provisions of laws and or&t'iancos governing this type of work will be completed whstharvpacified herein or not, The granting of permit does not Presume to give authority to violate or cancal the provisions of any other State or local few rogvlatIng construction or the Performance of construction, That I am authorized by the owner ofthis 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 or Everett officlil Use Only FEE _- 06 PERMIT# Owner/Authorized Agent Signature Date (R-vl,.d 1011212015)