930 N BROADWAY BARNES & NOBLE 2017-02-27

_LECTRBCCAL FERMI 1P1 BCS �,TQOC R CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 l (E)everetteps@everettwa.gov j www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: Q 0 os- c\'L ?cc 0 q iv Lo Q kA BUILDING AREA(if residential, new construction, remodel, or addition) ad, 8 14\©V SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: COMMERCIAL USE OF BUILDING: ELECTRICAL A PLICATIIOR9 IMF'.RGIIIATION CONTRACT PRICE OF WORK: $ 1 1 .0 C', C C NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES !1V0 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: _____CL \ v VA CA.\ �a c' tl CONTACT INFORMATION 1 1 OWNER NAME: \A Q_,_ o ci (v \r2. TENANT NAME(If Commercial): Ca�n e. 3n . c t �V'C$A OWNER MAILING ADDRESS: STREET Ckr)- 0 lD oc kk, , ,cQ c d A, c i CITY V Q_` �\ STATE LA ZIP (&�.Ot OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: AA I rl A 1 L )3 E 1-O A S `Zd C-C A Ar-z --h CONTRACTOR ADDRESS: STREET 2 3 CD l7 i s4- * CITY 1 A ( o i v STATE VV A ZIP 9S c/'S CONTRACTOR PHONE: (-53) S g 1 -3 0 CONTRACTOR EMAIL: ee e o us V o e i (c0 ey .,,c,\( . ( O' CONTRACTOR LIC.#(REQUIRED): NEI(C S'L g s k R A CITY OF EVERETT BUSINESS LIC.#(REQUIRE ): ES \,e, PRIMARY CONTACT: 0 OWNER NI CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (2 53l 3g 1- 3t\y D M1 11 A 1 I— X, L 0 v.S CONTACT EMAIL: 6( c„ '�.•�.,c\A q C` OxM� Po ( c 0.1,t..‘AGREEMENT. T hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of law 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 or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE \ S --------- PERMIT# ( „-/ c/, (, Ei\CD O " or ' 0 zed Agen ignature Da (Revised 10/12/2015)