1205 CRAFTSMAN WAY SLIP 24 DOCK H 2021-12-06

•ELECTRIICAL PERMIT ..LIGATION r CITY OF EVERETT PERMIT SERVICES - 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.govlpermits -„.:pitQsiti''mitt1iIN10.4If��tibk ' :.:.. :':.' •.._:..:.:_. _.�..:: .•. I.:;:... .:.. �`...:..:_--: PROJECT ADDRESS: 5 c...4- ° k oZ, 1.k-- -1. BUILDING AREA(if residential,new construction,remodel,or addition) SF - BUILDING TYPE: EI SFR-DETACHED El SFR-ATTACHED ❑ DUPLEX EI MULTI-FAMILY-#OF UNITS: OMMERCIAL USE OF BUILDING: Ce VV cje •• r�A 2 �T�fl �1 Ia 1 It wry 1i Rsf rd�d p ,.'.: . 451t�L5ollorto/`S+[G1xf�Ip L'�I9o1. Digo! lli-Fol€dpL�T o,.. _ ,k.CONTRACT PRICE OF WORK:$ I CD NUMBER OF DEVICES(if low voltage):• FIRE ALARM? 0 YES XNO ASSOCIATED BUILDING PERMIT#(if applicable): vIZLYA _t DESCRIPTION OF WORK: 1 C) A L1' . e' )A.0 p\) \ -t--- Ci7\cL VLQ OWNER NAME.__EyNA.C.01 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CIN STATE ZIP , OWNER PHONE: OWNER EMAIL: .. . . . ... .. . ,, :.... . . . ....:,. . .. .. ... . .._ . .. .. . . .. _.. ... ... ._ . ”,CONTRACTOR NAME: \s`r\e_ -S CPa� � CONTRACTOR ADDRESS: STREET t tE6 \ PP � J\ CM' "N VV./\ \A—. STATEkkiis.. ZIP C� CONTRACTOR PHONE:tZ'f 2 Lb- CONTRACTOR EMAIL: ly.12 te_NAN`3' , W(3, VAC k.co✓,\.. I ONTRACTOR LIC.#(REQUIRED)^ n A _„ M1_<Ne vv�<„ <`y� CITY OF EVERETT BUSINESS LIC.#(REQUIRED): ^* FN `_ __. _ PRIMARY CONTACT: El OWNER /1QNTRACTOR 1:1OTHER(Please Specify) CONTACT AME - -. - CONTACT PHONE: 1. 24)) z CC)•-17C)t - C__-- 7 CONTACT EMAIL: v�14LsA so- tinL1 Com, AGREEMENT:T hereby terrify that I have read and examined this application and know the same to be true and correct All provisions of laws and oces governing this type of work wi11 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 l 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 98.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE SCI , '' PERMIT# -4.1111111111111111 r. Ef( Q- Q •wneri..4i. 'ArSignature ate (Revised 90/92/2095)