2723 HOYT AVE CHILD ADVOCACY 2017-01-17

LLECTRIICA,L PERMIT P q PUCK-MN a f_e .r p CITY OF EVERETT PERMIT ULI tVICES 40 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 ] (E) everetteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT ADDRESS: _2 2 2 > O (-J-5sjt!/� BUILDING AREA(if residential,new construction, remodel, or addition)) _4 e i a ale SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: a Y� ( Cc -' - ELItCTIi1CAL APPILIcJTlls N INFO1RMAT1O1N CONTRACT PRICE OF WORK:$ 1 50 �� —f NUMBER OF DEVICES (if low voltage): X o2- • /e? to ret/ 41 c 7–c\._ FIRE ALARM? 0 YES _A'NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: ...27 tri ro'l1,f ct n d T"tri•?.2vr CI 7c 9 L o cs r,ops o 4.2 ,✓.,T.t. • .v...._._.._ COAiTACT-1Ia1FORNIA'I'ION:.-... OWNER NAME:‘:.' . v , ,,,,,,P0 7 r^ h;l c✓ J/OoCC/ENANT NAME(if Commercial): OWNER MAILING ADDRESS: STREET CITY STATE Z1 OWNER PHONE: .2 ()sos. Nd>Q. Oy/, ...OWNER EMAIL: .. ... .... .... . : . ..... •.. ......u�.r.. CONTRACTOR NAME: /p c Tz re r Hrvr n,of r-,,%)"..17 7./ l CONTRACTOR ADDRESS: STREET 3 ,Z 4 i /'( (- r✓C)Lii el CITYC/ver r T 7 SI ATE I".1fi ZIP *d D/ CONTRACTOR PHONE: -/d s - ,,2_ i q -- q3 7( CONTRACTOR EMAIL: 77 eA re ef 9r 6) 7 a,/, Cc,-.I CONTRACTOR LIC.*(REQUIRED): `� __ �` a.Mw.�.r.w„� m.n r^i CITY OF EVERETT BUSINESS LIC.#(REQUIRED):O�52 52' PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR POTHER(Please Specify) Of J 6/. re C t C' r- CONTACT NAME: CONTACT PHONE: L/ ?9 — !✓') 7 /vivim�,.x k-. ,-, CONTACT EMAIL: a 0 M4 7 m a,P � d AGREEMENT:T hereby certify that I have read and examined this application and know the same to be true and correc provisions of laws and ordinances governing this type of work will be completed whether specified 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 orthe performance of construction. That!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 OO —I PERMIT# �- ? / c �_ I4)1 -621 Owner/Authorized Agent Signature Date (Revised 10/12/2015)