3805 RUCKER AVE 2018-02-23 - Laserfiche WebLink

01111P----/4F iLECTRICAL PERI-MT A LAUICATION Ery • CITY OF EVERETT PERMIT SERVICES. viii03200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT ADDRESS: 3 ?O S' R U c-K2�R 64v e_ , Ev-ei,�2 BUILDING AREA(if residential,new construction,remodel, or addition) SF BUILDING TYPE: 0 SFR-DETACHED.n0 SFR-ATTACHED 0 DUPLEX ❑ MULTI-FAMILY-#OF UNITS: COMMERCIAL USE OF BUILDING: —1-4-(-0-(-o +1,1'v -e- I p,,EC' '7 lc LL A[PPLi6A11'tp 9 INFQIINN Tiplg CONTRACT PRICE OF WORK:$ SS©o f NUMBER OF DEVICES(if low voltage):• FIRE ALARM? 0 YES1 NO .ASSOCIATED BUILDING PERMIT#(if applicable): 'DESCRIPTION OF WORK: Re lko -CV+ A-/-• SCRCw`t, . CONTACT II1�F s.RMAT➢ON OWNER NAME: (� �/TENANT NAME(If Commercial): C-:-.).—a o C Ve p S OWNER MAILING ADDRESS: STREET 38-05- /� I"�V!"il."e c_ l�1-�/ ( /� CITY gv- vt-R-44 STATE W 4�--'t ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: b4-V C f A)A i t'C +/ Q CONTRACTOR ADDRESS: sTREEr ( .Z T p3�1 RL.' j .S LOV M LOA Q�( (� A ca EV`W.c- v STATE W Y` ZIP ! i 2a CONTRACTOR PHONE: �/b '1 Z 7 3 V� CONTRACTOR EMAIL: CIA\/2 . 'L) ( Sc7 V S S //v C ,C.O NPt CONTRACTOR LIC.#(REQUIRED): S'wNpSSgib-Tel CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 5 2-3 y/ k PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: AGREEMENT:T hereby certify that!have read and examined this application and know the same to be true and correct All provisions oflaws 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 I 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 ri _____/ PERMIT# /I (i „ 7 El 1 \- bol Owner/AufhorizedAgent Signature 0 4 Date (Revised 10/12/2015)