10200 25TH AVE SE 2018-03-28 - Laserfiche WebLink

"W. LECCT TICAL PERMIT Alli UUCAT!ON CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION:.:. . CIIN PROJECT ADDRESS: C` 1 SSM. u'CA/ AA, J I 0 2-o0 /vte S e.BUILDING AREA(if residential,new construction, remodel, or addition) S SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: XCOMMERCIAL USE OF BUILDING: SG oo 1 10rt�IY ELECTRICAL APPLICATION I IFOR ',.ATION CONTRACT PRICE OF WORK:$ NUMBER OF DEVICES(if low voltage):• 7.2- FIRE ALARM? 0 YES MVO ASSOCIATED BUILDING PERMIT#(if applicable): 9 DESCRIPTION OF WORK: I '� 20 ( k 6 Go{7i,LS.a I J �X, ' Am-A 1 releize-v— C.c. , . ,.:ONTACI` INFORMATI®N. .. - - . OWNER NAME: 6v lt 5c1/100L r 5 1 2._TENANT NAME(If Commercial): is..etAANDipv P✓ !" I A&S Gb I OWNER MAILING ADDRESS: STREET it 7 30 C b`d y /0\-0,CITY 6vIry e " STATE WA-- ZIP 4v zo OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: 5-1--A0---(A44 1/vWmAeu 1 Val 5 CONTRACTOR ADDRESS: STREET p0 6O f)) I 3 6S g CITY 3 O 6 144h G'S L STATE Yit ZIP 9 V/ 1 t 1 CONTRACTOR PHONE: 415 3 6 7 31,77 CONTRACTOR EMAIL: ➢w4r VL, D w p y b 5 ,bi o c 6�''^ CONTRACTOR LIC.#(REQUIRED): STALA e 4 Z L CITY OF EVERETT BUSINESS LIC.MREQUIRED): r--;09g0 g0 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) 7 CONTACT NAME CONTACT CONTACT PHONE: it ZS 367 .7 1 77 0 �i' J V J4 aCONTACT EMAIL: , 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 I am authorized by the owner of this property to perform the work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only a FEE N PERMIT# q(13/J7 E // 07 — (0-0 , Owner/ALA Owner/Aunt Sig tare Date (Revised 10/12/2015)