3417 ROCKEFELLER AVE 2018-04-13 - Laserfiche WebLink

tLECTRQCAL PERMIT A LIGATION cET. CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 J FAX 425-257-8857 J (E)everetteps@everettwa.gov J www.everettwa.gov/permits "' .. '.: .. .. :...Y'.1110NJ LtiC-l9:SITE:ll Y- ..: Fr��1I®.Y�Y•_.:- .. :.' PROJECT ADDRESS: 3` *7 a„),..4(e-FE:L LR Ave - BUILDING AREA(if residential,new construction,remodel, or addition) AM:- SF • BUILDING TYPE:Al SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: WQ��S�-��P .. 'GL=aTRBWAL PU©,PIi®NM106 DRTIIE CONTRACT PRICE OF WORK:$ 2 60 -- NUMBER NUMBER OF DEVICES(if low voltage): A 13 FIRE ALARM? ❑YES KNO ASSOCIATED BUILDING PERMIT#(if applicable): _ DESCRIPTION OF WORK: trpD C�(SLC. ) ;Tsr s1 O 66A kf LlQ J, - ` g O 2.Ql1-r-Xtfo9 v&T1 1 I ) : ... . OWNER NAME: Niett9C..y at cst-urn os TENANT NAME(If Commercial): OWNER MAILING ADDRESS: seer y3, �{ 7��f—��.�,{�,L `e ern( C rp'_L� / STATE yV/4r ZIP Th St OWNER PHONE: q25 -a31-L% OWNER EMAIL: CONTRACTOR NAME: Cj 614 ok) CONTRACTOR ADDRESS: STREET 103, 2�S, /ti < oc .S CITY 5(4-0[Lt i i�tsti STATE li ( rr ZIP ct 62jct 0 Z5 CONTRACTOR PHONE: ! 2.5=485--1Q 1tj 0 CONTRACTOR EMAIL: p l (Z„�ex)�I {�'�C, I-i i hlICAl .-CIC CONTRACTOR LIC,#(REQUIRED)` G,�� /�C�C t 14 8F CITY OF EVERETT BUSINESS LICA#(REQUIRED): 133,6_05 ` PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: .. n--/ "!'ZX C ,,,/i.O - 5 CONTACT EMAIL: AGREEMENT:T hereby certify that 1 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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE 45 PERMIT# Ekgo2 - 52Owner/Authorized Agent Signature Date (Revised 10/12/2015)