3015 EVERETT AVE GLOBODYNE INDUSTRIES 2017-10-18

LCCA 11 TICAL PERMIT LIICATIO N CITY OF EVERETT PERMITS VICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 (E) everetteps@everettwa.govwww.everettwa.gov/permits PROJE -SITE INFORMATION PROJECT ADDRESS: AVC_ BUILDING AREA(if residential, new construction, remodel, or addition) lZ SF BUILDING TYPE; ❑ SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: COMMERCIAL USE OF BUILDING: Oen/oq/L ELEC.-tRICAL.APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ NUMBER OF DEVICES (if low voltage): . FIRE ALARM? ❑YES ® NO ASSOCIATED BUILDING PERMIT#(if applicable): 5/60 00 � DESCRIPTION OF WORK: = mit l�t/FGT— //C`Zc/ FF'E'n <Sf C—IIJ 7-0 �- . CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): C7/_()8©Py�f_ //LjV097X/L S OWNER MAILING ADDRESS: STREET f A t�-- (i(// Q ) CITY G V STATE 14 ZIP CJ D l OWNER PHONE: �/60""-,9 3 3 OWNER EMAIL: //, eet,i CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: ONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR OTHER(Please Specify) _1710i4-lU 7- CONTACT CONTACT NAME: 1,59641(j 13006-167 CONTACT PHONE: 4-2-.5 —2:-0 r 34-37- CONTACT EMAIL: 4-3 .- CONTACTEMAIL: bil 6l Ice') 'r1i5-%l .eok41 AGREEMENT. Thereby certify that I have read and examined this application and know the same to be true and correc. AIJ 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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE PERMIT# ner/ ut�Ap- ure Date (Revised 10/12/2015)