1520 80TH ST SW VALENCE SURFACE TECHNOLOGIES 2019-08-12

1LECTRilCAL PERMIT AIL1,1gLIICATIION ( CITY OF EVERETT PERMIT SERVICES 54-L, 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 J FAX 425-257-8857 I (E)everetteps@everettwagov I www.everettwa.gov/permits • • JPkOJICT SIITIilFORr ATJIÔN RP OJECT ADDRESS: 15-0 e-072" I £L-') *2 ic9) / Vc,r -TT 101 03 'BUILDING AREA(if residential,new construction, remodel, or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: El COMMERCIAL I USE OF BUILDING: `1EIL 116AL APLI1C-4111CiN - . CONTRACT PRICE OF WORK:$ 64c) NUMBER OF DEVICES(if low voltage): FIRE ALARM? El YES 0 ASSOCIATED BUILDING PERMIT#(if applicable); DESCRIPTION OF WORK: J ft— / )D j0/1 Op *3D00 . • • - CONTACT-INFORMATION. • OWNER NAME: VA,/c c c r / ) TENANT NAME Of Commercial):16 OWNER MAILING ADDRESS: STREL I /S—do S--07'. 5VTT CITY STATE 47)9- ZIP 2 1-.203 OWNER PHONE: LI r .297 11-/V OWNER EMAIL: CONTRACTOR NAME: C4.SCC C /1,1 c.c,11:‘11C-9/. 1--s°"-.) bYee--71- CONTRACTOR - CONTRACTOR ADDRESS: STREET 67/,6e)0 5 )1.1 Li' $ CITY S T-71t STATE P , CONTRACTOR PHONE: „2(;)6 7ó2 0 CONTRACTOR EMAIL: v„\cdc r-7 6 CAC reVe CONTRACTOR LIC.#(REQUIRED): C.4 e ? CITY OF EVERETT BUSINESS LIC.#(REQU"ED): 214P 411P PRIMARY CONTACT: )4 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: ws— I/ 8--es' rr7" CONTACT EMAIL: sy, corj, vcie 4,) AGREEMENT;Thereby 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 properly 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 S CD PERMIT# E tr9-oc1 Ol 3 Owner/Authorized Agent Signature Date (Revised 10/12/2015)