305 SE EVERETT MALL WAY VJ NAILS 2017-05-23

CITY OF EVERETT PERMIT U61ES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 FAX 425-257-8857 1 (E) everetteps@everettwa.govwww.everettwa.gov/permits PR®JECT SITE IINFORIVIATIORI ' n PROJECT ADDRESS: D S S ✓2Y 2� BUILDING AREA(if residential, new construction,remodel,or addition) SF BUILDING TYPE: ❑ SFR-DETACHED 11SFR-ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: COMMERCIAL / USE OF BUILDING: v Alai ( SCS to i 1 ELECTRICAL APPLICATI®N (INFO:RMA,TION CONTRACT PRICE OF WORK:$ NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES OTNO ASSOCIATED BUILDING PERMIT##(if applicable): DESCRIPTION OF WORK: L GSL ✓I k f f CL-.G CO TACT-;INFORMATION ' OWNER NAME 4•✓1. � a.o TENANT NAME(If Commercial): y .J /7 a LI-P OWNER MAILING ADDRESS: STREET . CRY - .. STATE ZIP OWNER PHONE: 05 _Z 2/7,, z Z1�/S OWNER EMAIL: CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET O t 8O !Z CITY / e kt STATE ZIP 0-6 C,CONTRACTOR PHONE: e -W S (,IV2 CONTRACTOR EMAIL: )5t-t C-b 4,r,4 04, /1�/�y CONTRACTOR LIC.#(REQUIRED): c.LX 97 7 P� CITY OF EVERETT BUSINESS LIC.#(REQUIRED): U3?J`�15 PRIMARY CONTACT:x u WNER _ ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: Co V 2— CPCP— — t C b6-C Ve l CONTACT EMAIL: E-40—LC Z✓}{164 aA f AGREEMENT. T hereby certify that l 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 l 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 q000 PERMIT 1f 3&q E OwnerlAutiiorized Agent Signature Dat (Revised 10/12/2015)