2506 RUCKER AVE 2016-11-07 - Laserfiche WebLink

��I�� I� ��I�� CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits PROJ@Ci S1TE INFORNIAI'IORI PROJECT ADDRESS: ZS� CG C IC�2 V-e "h � �VQre ��' �i(/� �� Z� I BUILDING AREA (if residential, new construction, remodel, or addition) /jE� ✓�a o�@ % SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX f� MULTI-FAMILY-# OF UNITS: 3 ❑ COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 2 S O c `�� NUMBER OF DEVICES (if low voltage): FIRE ALARM? [$f YES ❑ NO /4v f� tN1'� I�e f7C f-C c. � o�.S ASSOCIATED BUILDING PERMIT # (if applicable): DESCRIPTION OF WORK: 2� O vyr c� .7�I e � (�% e � r c c,c, • CONTACT INFORMATION OWNER NAME: S� 0. Y' �✓� 1� 0. e TENANT NAME (If Commercial): OWNER MAILING ADDRESS: sTReeT CITY STATE ZIP OWNER PHONE: Z d� - GI Y . I�% �} OWNER EMAIL: CONTRACTOR NAME: C�, iiL � I C CONTRACTORADDRESS: srReeT qCp O�l C� �'�+ ST S-e CITY I�Q �Qt/C✓�S � STATE ZIP (��(� CONTRACTOR PHONE: �b �' Ff S 3" �o �1 � y CONTRACTOR EMAIL: �r! c. 64,c.� �AiI (�� ✓1 �'� CONTRACTOR LIC. #(REQUIRED): �4C� � � �" ��'1 CITY OF EVERETT BUSINESS LIC. #(REQUIRED): OS y 9 ,,.. .__... . . ... . . ..... .. _ _.. _ _ - _ _ ..._... . _....... _, . PRIMARY CONTACT: �I OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: Zt� (o —$ S 3,� y 2 (�r 1 C..� ,�cL,,,L'/�,'f"" .�i I CONTACT EMAIL: �.�r C,,, �fjR.�„� �'-,e. 1 � �✓11. � � ,'7 2.- AGREEMENT.� T hereby certify that I have read and examined this applicaiion and know the same to be true and correct All provisions of laws and ordinances govemrng fhis type of work will be completed whether specified herein or not. The granting of a permit does not p�esume fo give authorify to violate or cancel fhe provisions of any other state or local law regulating consiruction orfhe performance of construction. That ! am authorized 6y the owner of this property to perform the work for which application is made and ! comply with fhe State Contractors Law 18.27 RCW and 296.200 WAC. Owner/Authorized Agent Signature Date �� Cify of Everett O�cia/ Use On/y FEE `� 11�1_"_�- PERMIT # � � ��2-�0� (Revised 90/92/2015)