4605 S 3RD AVE 2018-02-26 - Laserfiche WebLink

LECTRIICAL PER IT Aft_ JCATIO f 't CITY OF EVERETT PERMIT SERVICES ' _--___--' 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 j (E) everetteps@everettwa.gov I www.everettwa.gov/permits •''JECT ADDRESS: `L Ode / idcx/ - - /17,/70.%5(Z) ‘74,c5 si Zci446 - z 1 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL I USE OF BUILDING: • 14L0Ctr'IIC ALS kPPLJ]CATlIIiN INFCR)JIA1IIIo01 NTRACT PRICE OF WORK:$ i OC CD //VS C= -/ e) -r otV 0-e___7-- NUMBER -7`NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES ❑NO ASSOCIATED BUILDING PERMIT#(if applicable): / / DESCRIPTION OF WORK: ,A,V,4zj/ Z Ci; .. (5. -v-ir=Cl./29 (eve/ 4 L-u/71,h e„:Y S — Ti-'9-'7C/7 Ce51r2/c:/e ,U-c,--,t'r -i;/e),,i res/-7?)arvi OWNER NAME: G fj� /2G(/7L S TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET gOZ ,7I/L-i 1..7 t i�6 !/j —98 203 CITY -�� / STATE �1-j✓l1 �/P •9/0 3 OWNER PHONE: 7? 5---25-7--g�j6 •7Z OWNER EMAIL: �Gt.Ch C 1 U 6tt" �'J`,(/�/( CRi ONTRACTOR NAME: GCS _ '/2 C //L/V V >Tie L-i n'C 6i- UA CONTRACTOR ADDRESS: STREET G.5"a_h'1-e" - C17y _7 STATE ZIP • CONTRACTOR PHONE: '/Z,�^ 3 O/ 74i>V 7� CONTRACTOR EMAIL: t ', 2(Zi-r'f7/164 Ai E f CITY OF EVERETT BUSINESS LIC.#REQUIRED e -J C+- !CONTRACTOR LIC.#(REQUIRED): #(REQUIRED): �2' % 9 PRIMARY CONTACT: edOWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 12/2„5— _as- _o ?,3-- . 1 ilem` e;-.S.- /y `e-1 CYI CONTACT EMAIL: a" +� .BC,fta__,.e.,ser' - <.. (q Ct., AGREEMENT.T hereby certify that I have read and examined this application and know the same to be true and correct. All 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 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 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE 0° Is 2,6-0 _ _ PERMIT# 47f' lte&-t E f ‘ b - 622, Owner/Authorized Agent Signature Date (Revised 10/12/2015)