2915 COLBY AVE MEMPHIS PIT BBQ 2017-10-18

Oct, 26, 2016 7 : 55AM No, 1340 P. 1 CTRICAL PERMIT APVCATION CITY OF EVERETT PERMIT SERVICES 4e7T 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 FAX 425-2578857 1 ()_) everetteps@everefiwa.gov www.everettwa.gov/permits ,'PROJECT:SITS�INF.O;�tM.`ATM.O'{�` , PROJECT ADDRESS.' jj �ff 13UILDING AREA(If residential, new construction, remodel, or addition)- SF BUILDING TYPE: ❑SFR-DETACHED ❑ SFR-ATTACHED LI DUPLEX LI MULTI-I=AMILY-#OF UNITS: COMMERCIAL USE OF BUILDING: EL ICINLAPPLICATI:ONi'1NFOR�MATION: CONTRAGT PRICE OF WORK:$ NUM13ER OF DEVICES (if ioW voltage). FIRE ALARM? CI YES ❑ NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: C.ONTAMINFORMATION OWNER NAME: TENANT NAME(if Commercial): OWNER MAILING ADDRESS: STReeT ` � J crry STATE ZIP OWNER PHONE-Aa OWNER EMA : CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE zip CONTRACTOR PHONE: ACTOR EMAIL: [,v GONTRACTOR LIC.#(REQUIRE . /t. CITY OF EVERETT BUSINESS #(REQUIR ): PRIMARY CONTACT: [I 0@NER R ❑OTHER(Please Specify) CONTACT NAW': CONTACT PHONE: �a CONTACT EMAIL: AGREEMENT:T h eby certify that!have read and examined 612 eppticetton and know the same to be true and correct. All prow ions of laws and ordinances govem/ng this type of work will b completed whether speoltied herein or not The granting of a permit does not presume to give authonYy to vio afe or cencet the provisions of any other state or - local law regulating construction or the performance of construction. That I 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 16.27 ROW and 286.200 WAG. City of Everett Official Use Only / FEE PERMIT# E � c� c o •-- �g l owner/Authoriz Agenf Signature bet (Revised 1Q/12/2015)