2507 RUCKER AVE 2018-04-13 - Laserfiche WebLink

PLEcTrallc L PERMIT All UIlCATION 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 Ok..900 $fi`ll'y 1000 0.141 Cry'°;.: ;PROJECT ADDRESS: 2 5-4C !Cu lee' BUILDING AREA(if residential,new construction,remodel, or addition) SF !BUILDING TYPE: Nil-FR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL I USE OF BUILDING: �LEC'TR�CAL AFPLSCATION �NFORMAT Old CONTRACT PRICE OF WORK:$ NUMBER OF DEVICES(if low voltage): FIRE ALARM? CI YES90- ASSOCIATED BUILDING PERMIT#(if applicable): � DESCRIPTION OF WORK: !`f M- ` �?� 9w� �:6 Ceeedi QNT-... T.LNF;®13MQiT1®N..:,. ._. OWNER NAME: f"' (�� j/' j " TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE:2.061-MT.-f9`t OWNER EMAIL: CONTRACTOR NAME: /Ul,fr CL1'R.4GtQA6—r?poy CONTRACTOR ADDRESS: &TRem- /('o'ILI/ � ��'10Ve 61 7 a /,/ �J CITY (��liGf��"'C!/' STATE '7/V ZIP CONTRACTOR PHO[71 °�� -la, CONTRACTOR EMAIL: R'd "Drti _ 71c �✓ - CONTRACTOR LIC.#(REQUIRED).....e .G .0 0453g LI CITY OF EVERETT BUSINESS LIC.#(REQUIR.D) PRIMARY CONTACT: lr OWNER CI CONTRACTOR 0 OTHER(Please Specify) or CON NA : CONTACT PHONE: t2 - �� g 3 z2 CONTACT EMAIL: 7242 .5.4.6r4,.../.dlabs COM, AGREEMENT T hereby certify the l have read and examined this application and know the same to be true and corned. 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!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 S PERMIT 7.20- UW2-- 23° Owner/Auth n ed s nt Signe re Date (Revised 10/12/2015)