5715 12TH AVE W 2018-02-26 - Laserfiche WebLink

tLECCTRQCCAL PERMIT A LIICATION _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.gov/permits PROJECT ADDRESS: t S '‘' .-'1$-1 Lkr\<A \> BUILDING AREA(if residential,new construction,remodel, or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED Ig-t10 LEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: S,4k_ - „ ..-- .: ... EL 7.-cmaCAL ski'IPLIICATII1. 9 INFO NI kTIION CONTRACT PRICE OF WORK:$ / 5(i v ' NUMBER OF DEVICES(if low voltag : ' FIRE ALARM? 0 YES 0 ASSOCIATED BUILDING PERMIT#(i pplicable): DESCRIPTION OF WORK: c. illv-V) tkY r kki1 1,-1141/r1 e r k f S...Lv-,Q (/ctwp i OWNER NAME: t"V --)- NA( TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET' <f 1 S I' 1 L-1 U - l.$ �/} UI I � n1 crryi) -ems•// STATE L i A ZIP 9c,�, V'1 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: &� K FiCr17/r L LL L CONTRACTOR ADDRESS: STREET �,v `> x• LO- c1 y MLA LA Y\; I ' v STATE ZIP /I ir CONTRACTOR PHONE: 405- ,%-n-31, CsJA CONTRACTOR EMAIL: )Sz_ e(ts�•�r/rL / ` tR._ c„, CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED) C '7I PRIMARY CONTACT: EI OWNER ONTRACTOR 0 OTHER(Please Specify) --------- --— --* - —_....) CONTACT NAME: CONTACT PHONE: 1-1 '- (43%- s—r-3 g ,p, ,p c--- 0\i\v„., CONTACT EMAIL: S.,40,1 AGREEMENT:T hereby certify that I have read and examined this application and know the same to be true and correct Ali 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 lam authorized by the owner of this property to perform the work for which application is made and! comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only IFEE - 1 : q____ E ,.....______ 1 PERMIT# ' \ Ilik 1II 1 - .)-").—\-1 E l2 ( 2 ---2 —( Owner.ut rized Agent Signature Date (Revised 90/9212095)