8408 18TH AVE W 2 - 105 2019-06-03

�y CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 j FAX 425-257-8857 j (E)everetteps@everettwa.gov j www.everettwa.gov/permits PROJECT SITE INFORMATION s: l PROJECT ADDRES _ .. tVl -eve VV 2 - l D 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: ELECTRICAL ,APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ �I NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES CI NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 20 ( W a�vv G`1l�Gf/C CONTACT INFORMATION. OWNER NAME: � TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREEr 1?46)(5" 7fW V CnYple�ref STATE yyZIP OWNER PHONE: l q ,� —�Q�j( OWNER EMAIL: /V 14 CONTRACTOR NAME: 6✓l /1 CONTRACTOR ADDRESS: srREEr /I��O ��fQ/I � IJP— SC y� CITY ' �-� �w V� STATE ZIP 149257 Zf CONTRACTOR PHONE: (125)234/—O&1-3 1 CONTRACTOR EMAIL: (-D I (��VI �c�lfvl G GF�'YYJ / CONTRACTOR LIC.#(REQUIRED): Int o�ESGIvZ �G CITY OF EVERETT BUSINESS LIC.#(REQUIRED): q�[ (O 0 PRIMARY CONTACT: ❑OWNERNNTRACTOR El OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: ',`2Gj — La 2�— 9 36 1 CONTACT EMAIL: ff AGREEMENT.'Thereby certify that I have read and examined this application and know the same to be true and correct 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 I comply with the State Contractors Law 98.27 RCW and 296.200 WAC City of Everett Official Use Only FEE C Z/21PERMIT# E I_1 n5-- C))9q, Owner/Authori ed Agent Signa a Date (Revised 90/12/2095)