6807 COMMERCIAL AVE 2017-04-27 - Laserfiche WebLink

EC 11 RICAL PERMIT AV -ICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT i1T> INFO MATIOw PROJECT ADDRESS: O D^"6 -0-r $ ZCi 3 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: ELECTLtICAIL APPLICATION IM idiuWATION CONTRACT PRICE OF WORK:$ NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES XNO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 00 � f �w1111A rte, IC-1- CO 0111MATION C-1-CONTACTINFORMATION OWNER NAME: /5 TENANT NAME(If Commercial): a OWNER MAILING ADDRESS: STREET CITY L1,4 STATE ZIP f7 v C- OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: (`�.r. L �— CONTRACTOR ADDRESS: STREET D 130 < Stilt CITY ( STATE C "� 2 ZIP CONTRACTOR PHONE: ZO6 L/2 Z l q!;"7 CONTRACTOR EMAIL: e D I `� �� CONTRACTOR LIC.#(REQUIRED): I'De"L PL Fs S1 ( Dom/ CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑OWNER CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 6 GJ CONTACT EMAIL: e o „E . ��L° �, Cf. �d~ AGREEMENT.Thereby certify that I have read and examined this application and know the same to be true and coned All provisions oflaws 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/am authorized by the owner of this property to perform the work for which application is made and/ comply with the State Contractors Law 18.27 RCW and 296.200 WAG. City of Everett Official Use Only FEE PERMIT# i 1E '� w r/Au orize gen Signat e Date (Revised 1071212015)