2916 19TH ST 2017-03-09 - Laserfiche WebLink

(---- - _LECTRIICAL PERMIT " "LIGATION '/� 4 _ CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov 1 www.everettwa_gov/permits PROJECT ADDRESS: \_10 t q 11 S-1--- BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: D COMMERCIAL USE OF BUILDING: .S.Np, -QQv- CONTRACT PRICE OF WORK:$ NUMBER OF DEVICES (if low voltage); - FIRE ALARM? 0 YES D NO ASSOCIATED BUILDING PERMIT#(if applicable): it DESCRIPTION OF WORK: A e t„1 -p ,p,v,` 3`1'O J c t -ctir` cu -vS\,e irle ct r, n. y1 J Sk5 1 . .-.. . -COtiTACT-.INFORtVIATION ;.:: •,-: :.' ::,.-:::� -.;s...`°::-�. .: -'- QV NER NAhIIE< M e •kt 70A, < Ic.SL TENANT NAME(If Commercial): OWNER MAILING ADDRESS: SnREEr I`i i 4 1d !7�`� ST 1'c l+C,fC...4_ CITY LIL 41, '�S /N STATE ZIP0 r� OWNER PHONE:`/ OWNER EMAIL: CONTRACTOR NAME: ' "yGcc&n �u +W e,. ___./.....,...11„; z e E CONTRACTOR ADDRESS: sTREEr c O 0 4-0- I CITY LC k;/ STATE Jv ZIP P [ 207E CONTRACTOR PHONE: 4?"-Liu-37'353 CONTRACTOR EMAIL: . ajUo A Se:"S.e.,_ k 4 L+Ut . Cp,n..i CONTRACTOR LIC.#(REQUIRED): rt CITY OF EVERETT BUSINESS LIC.#(REQUIRED): t)533'7.I PRIMARY CONTACT: OWNER6 TRACTOR D OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 1795:—3-7 ti" a.5- CONTACT EMAIL: AGREEMENT Thereby 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 orthe 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 Al 415,00 PERMIT# ST-DS-Th./( _ Ek/ 05- ig, 1 Date . (Revised 10/1212015) Ok Ouvner/Aut�A9enf S ignafa