1020 51ST ST SW 2017-03-10 - Laserfiche WebLink

LECTR.IICAL PERMIT ,yPUCATIION . �'.=tom CITY OF EVERETT FERMI 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-•257•-8810 1 FAX 425-257-8857 I (E) everetteps a�7everettwa.gov j www.everettwagoVlpermits s g®y p�p7� - a, ; 8 ppgg r� � Ali':=�..::': ry� ga �opp�p'�� PROJECT ADDRESS: I O29 37-3-:-F t S BUILDING AREA(if residential, new construction,remodel,or addition) Li dv SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED El DUPLEX El MULTI-FAMILY-#OF UNITS: EI COMMERCIAL USE OF BUILDING: ./u11- ' ;t,:c • � � pe 9 )' r ' NNryry C®111. .,qy 1I.,,pp,v:.II.tl�A 1��t�I� r_.. r.,.. l'7•r CONTRACT PRICE OF WORK:$ 0C) NUMBER OF DEVICES (if low voltage); • FIRE ALARM? Cl YES r)NO ASSOCIATED BUILDING PERMIT'{#(if applicable): ` DESCRIPTION OF WORK: l)/rioA/ re /l it I o/- / 5t' • - 43NNER NAME•'•. . /-4/J`T ' <Y" CtCTENANT NAME(If Commercial): OWNER MAILING ADDRESS: SIRE-Er I CITY STATE IJP OWNER PHONE UL�Z_ . Q v 76...�. y7 _OWNER EMAIL: .. ..........,._:. . . _ _. .. _ v_ _...... ........... y.._.__..._ __ CONTRACTOR NAME: eels rz Feilta L G C _ CONTRACTOR ADDRESS: STREET/_20)/ / ( c 1...--14/1-iee -4 ed p CITY /lam!/�G' c/v v0V/ STATEzip !CP25� CONTRACTOR PHONE: 1-(7.5- F/y Fwd Z ,CONTRACTOR EMAIL: . fl Vol' CONTRACTOR LIC.#(REQUIRED)' 6,1W6PL9OZb 6 CITY OF EVERETT'BUSINESS LIC.#(REQUIRED)- .. _r PRIMARY CONTACT: p OWNER El CONTRACTOR EI OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 1 0//05 / ,%/, CONTACT EMAIL: 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 orthe performance of construction. That lam authorized by the owner of this property to perform the work forwhich application is made and I comply with the State Contractors Law 18.27RCWand 296.200 WAC. City of Everett Official Use Only FEE PERMIT# _alai — lCp Oln �O( �t •1e r/Autiiorized .e ntSignature Dale - (Revised 10/12/2015)