7207 UPPER RIDGE RD 2017-03-13 - Laserfiche WebLink

ELECTRICAL PERMIT G PLIC ,TION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 J (E) everetteps@everettwa.gov I www.everettwa.gov/permits ,, PiR.®J1EC 'SPIE !lN O1.MITI J' :. PROJECT ADDRESS: 7d0 -7 upper i dye f.VYID BUILDING AREA(if residential,new construction,remodel,or addition) 02/ 9)9 SF BUILDING TYPE: 0 SFR-DETACHED XSFRATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: s Fr • p)ogAvot:IlN1F9)f31lII4Tao Y;.,......._.. ._._ CONTRACT PRICE OF WORK:$ 7' V) • NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES %NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: ki/ (C ?I.ZW , -/1I 5 cF/ / 2OO//Imp Pry e-.1 T 57*r" . 1 : '- CT,INFORMATION - - CONTACT, QWNER NANIk .P.;0 4,5 7j 7-10 yv►rs. TENANT NAME(If Commercial): OWNER MAILING ADDRESS: J STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: g . ..... CONTRACTOR NAME: V<L /4 Ke., .S( vyv G N5 /iC 1 G LCC CONTRACTOR ADDRESS: STREET / 3 ; 45- 2 6 fk S7 N E a 8 crrY La lri CACl/e05 STATE /,vg ZIP 9 8;51$ CONTRACTOR PHONE: 1/Z5.-. 3 .7 7 LI Lf 7 CONTRACTOR EMAIL: /a 14 S i-eve-0-S i./ r<<-G 9 6'i 4-11_,,COp't- CONTRACTOR LIC.#(REQUIRED)• 1.14-16t 4 o c, CITY OF EVERETT BUSINESS LIC.#(REQUIRED): © -tqo r . PRIMARY CONTACT: ❑ OWNER CONTRACTOR El OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: L(2s 3 2 7`_-7Lig 7 Saiz VCti(Vb�11 CONTACT EMAIL: la jetyew es d eLfr-(C 5044,y • C0 ok AGREEMENT.-T hereby certify that I have read and examined this application and know the same to be true and correct All 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 or the performance of construction. That lam authorized by the owner of this properly to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCWand 296.200 WAC. City of Everett Official Use Only FEE -------- -- — 49.ft).1'--- PERMIT# -IZA. 5--I9-/6 E 1 �© ,i2 � OuvnerlAutrio zed Agent Signature Date (Revised 10/12/2015)