3131 NASSAU ST ANKLE AND FOOT CLINIC 2018-12-04

Dec, 16. 2016_ 2 : 23PM Sollr1c1 Security Inc No. 1340 P. 1/1 . 'I tEC RICAL PERMIT i`;E LIGATION CITY OF EVERETT PERMIT SERVICES 3200:CEDAR STREET, EVERETT, WA.98201 (P)425-257-8810 1 ,FAX.425-257-8857j'1(E) everetteps@eve.rettwa-gov 1 www.everettwa.gov/permits .k • -. • _ .l".f.•*. - 1.- vkir i•J R:-: • _ r.t : 11 PROJECT ADDRESS; 3131 a55cct! SI-re-0' . BUILDING AREA(lf residential, new construction, remodel, or:addition) SF BUILDING TYPE:.CI SFR-DETACHED ❑SFR-ATTACHE}i I:1 DUPLEX ID MULTI-FAMILY-#OF UMTS: COMMERCIAL USE CF BUILDING; LA 0 `I . A 1 b IL I. .i'; • , L ,11:cc ,AP0. .1c: TQQ i::-.1 F3 IA'Ac >h; . �"._ .J +:� --✓ �'.•iK� r-4: T"JfN:�' IKT \ N... .- 'rt. :t'r ly'"Cr��'!L < ._• . j: . . . : ". .. ..-> CONTRACT PRICE OF WORK;$ NJ NUMI31;R OF DEVICES (if low voltage): . FIRE ALARM? DI YES voltage): "i ASSOCIATED BUILDING PERMITS if applicable - II? DESCRIPTION OF WORK: UV T 0 I:.;., ; ,e 51 U a ( J - - I: • CO_TAC7t IN 0 out(0g1 A .v,vR NAME:_An V ,Ie -i-- ' " C>1141,t2 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET I' - CITY STATE Zip OWNER PHONE: I OWNER EMAIL: ..�..�. .. ._.-.__....� ....caly n •�.u�_..ta,c .'e��ds.. �.i..,�:� - ...fr r'a r r .�,fl-.m.K o .a .. .....,•.. �:• .. .-. .a,.,.. . e, ,� ..... CONTRACTOR NAME: s Son IsT7�( ), ' -i - CONTRACTOR ADDRESS; 8TREET ( d� I ( 'n '/c r-riicc cc CITY V' - I sTA-E 1 A r zip 4 2( ) r coNT}ACTOR PHONi 0,�r2S8 13 4 5 5 CONTRACTOR EMAIL: bR,�J�r 1e, do(}i 4fU y a(�t I�r C,/Com o CONTRACTOR LIC.#(REQUIRED O1 J 112-V `7 1h 7 CITY OF EVERETT'BUSINESS LIC.#(REQUIRED)= j.-3/I-3 r w _�._. bar.amu¢..-.4 �,m ._,. PRIMARY CONTACT: ❑OWNER CONTRACTOR 0 OTHER(Please Specify) • CO TACT NAME: ,i/ ij CQNTACT PHONE: C-1-25 — 407.1ra .. 5L/ . • e' I CQNTACT EMAIL: al on, ` ,/. _' AGREEMENT:Thereby certify that/have ma. end.,_mined this application and know Ma same to be true and correct Allpnw/slons of/:ws end ordinances governing this type of work will be completed whether spscH1 d h-,;in or not The granting,ofe permit does pot presume lb give authority to violate or cancel the provisions of any other state or locellaw regulating construction orthe perform: a of construction. That I ern 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 Ofticlal Use Only 'FEE i I, . ' (1k7 1 6't D_9- • PERMIT# l 1 � (� ESI012-D22 Owner!Auth❑rized Agent gnatu're Oat;i' t (Revised'10/12/zo15)