7601 EVERGREEN WAY HEAR USA 2017-10-20

03/14/2017 07: 52 #1822 P. 001/001 ACTRICAL PERMIT APPWATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-2578890 FAX 425 257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/perrnits PROJECT ADDRFSS TM BUILDING AREA(if residential,new construction, remodel,or addition) SF BUILDING TYPE: El SFR-DETACHED C1 SFR-ATTACHED M DUPLEX 1A MUf-TI-5AMILY #OF UNITS: El COMMERCIAL LUSEOFFUI-DING; �D ELEGTIIt�CAL 4# P�� A710 INI�QI� ATION4. CONTRACT PRICE OF WORK: $ 6�Q0 NUMBER.OF DEVICES (if low voltage): FIRE ALARM? ❑YES O ASSOCIATED 13UTLDING PI✓RMIT#(if a llcabla). DESCRIPTION OF WORK: CO.( T GT..,INIFO ATIO OWNER NAME: CayrtALeneAjTENANT NAME ]f Commercial): /Z USA OWNER MAILING ADDRESS: SMEEr S1 perY I�� {MSTAT£ FL ZIA 33IC Q OWNER PHONE: J O,� OWNER ENTAIL: CONTRACTOR NAME: 4)'V l J � t CONTRACTOR ADDRESS: 6-MFET 9(A-G g 'CrrY STATE ZIP Y� .5DEMAIL- CONTRACTOR CONTRACTOR PHONE: VZ1 CONTRACT IR EMAIL: CONTRACTOR.LIC.#REQUIRED): AJX / O CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: D OWNER Q CONTRACTOR .O-OTHFR(Pfense Speclfy) CONTACT NAME: CONTACT PHONE: 231 2 CO?Y-MrWO$ f� CONTACT FMAIL: AGREEMENT.'Thereby certify that 1 have read and examined this applicatlon and knowthe same to be true and correct Allprovislons oflaws and ordinances governing this type of work will be completed whetherspar.4jed heroin or not The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or locallaw regulating construction or the performanco of construction. That I am authorized by the ownerof this propertyfo perform the work for which application is made and/ comply with the State Contractors lAw 98.27 RCW and 28&200 WAG City of Everett Offiaial Use Only PEE V' 250 PERMIT# Owner! orized Agent Signature Date (Revisod 90/12/2015)