1902 VIRGINIA AVE 2017-10-05 - Laserfiche WebLink

T PLICATION *ELECTRICAL PERMI CITY OF EVERETT PERMIT ERVICES 3200 CEDAR STREET, EVERETT, INA 98201 (P) 425-257-8810 ( FAX 425-257-8857 ] (E) everefteps@everettwa.gov j WAW.everettwa.gov/permits - .. - - - •• •� wig ^... -`R.. ti� s�nt1 PROJECT ADDRESS: /CIO Z 1// / BUILDING AREA(if residential,new construction,remodel,or addition) SF T�li BUILDING TYPE: II SFR-DETACHED CI SFRATT*ACHED 'DUPLEX ❑MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: fNUMB'ER LEC TRACT PRIGS OF WORK:$ OF DEVICES (if low voltage)> FIRE ALARM? ❑YES NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION-OF WORK: ...:::.... - - CONT'ICT IJP FON A 0 OWNER NAMIRg ,�� -�/`� �LIhG TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE Aoy ZIP OWNER PHONE: 7-07— OWNEREMAIL; CONTRACTOR NAME: e 4g,,A 1, CONTRACTOR ADDRESS: STREET crrY STATE ZP CONTRACTOR PHONE: CONTRACTOR EMAIL: GONTRACTOR LIC.#(REQUIRED)• J CITY OF EVERETT BUSINESS LIC.#(REQUIRED)- PRIMARY CONTACT; ❑OWNER L7 CONTRACTOR El OTHER(Please Specify) GONTAGT NAME: CONTACT PHONE: 00� //A0L//-4,fH CONTACT EMAIL: es!/ AGREEMENT'T hereby certify that 1 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 wff be completed whetherspecified herein ornof The granSng of a permit does notpresume to give authority to violate or cancel the provisions of any otherstata of Iocallawregulating construction orthe performance ofconstmation. That 1 am authorized bythe nwnerofthis propedyto perforin the workforwhich application is made and 1 complywlth the State Contractors Law 18.27RCWand 296200 WAC. City ofEvereit Oficial Use Only FEE PERMIT# erlAuthorized Ag of Signature D e (Revised 90/12/2015)