2229 ADAMS AVE 2017-10-13 - Laserfiche WebLink

41tLL,CC` RICAL PERMIT / RLICATIO l 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.govlpermits PROJECT ADDRESS: CLg 23 BUILDING AREA(' entiaI-Aew construction,remodel, or addition) RFU SF BUILDING TYPE: E]SFR-DETACHED El SFR-ATTACHED ElDUPLEX 11 MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: a kr,G(-.eGf car eof6 p,vigc- ELECTRICAL APPLICATION INFORMATION _ CONTRACT PRICE OF WORK:$ Cj 00,,0 NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES ❑NO ASSOCIATED BUILDING PERMIT#(if applicable): - DESCRIPTION OF WORK: 2(e-c4vlcat OvKef-s -cvt (ve,-`� . c� ( `vcu is Fs l�.e ctiY" O� q/'T `� c%cz v_G� Sf�:✓�zca ; G�-�.z%wc- C%�-�c�cz:,� „CONTACT,INFORMATION : ;: ::; OWNER NAME: TENANT NAME(If Commercial): 1 OWNER MAILING ADDRESS: STREET �kl ee ee/^� �J,p CITY STATE l - OWNER PHONE: J'Z - 377--7-1-1512) OWNER EMAIL: b(.V-56 CONTRACTOR NAME: ( TO I Wf," C/ WN-ICJ L46- CONTRACTOR ADDRESS: STREET `Z2 -{ CITY [vevlfSTATE vxn LP Cc b , C) CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): (pZ CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: AGREEMENT..Thereby 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 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 98.27 RCW and 296.20b WAC City of Everett Official Use Only FEE 60 L PERMIT# q -=2_D� Owner/Authorized Agent Signature Date (Revised 90/92/2095)