4636 SEAHURST AVE 2018-04-13 - Laserfiche WebLink

11/28/2016 MON 10: 09 FAX 425 252 1666 CM Heating ! 003/003 ELITRICAL PERMIT APP CATION �►' CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 t (E) everetteps@everettwa.gov www.everettwa.gov/permits • • -404001'.0.1 a II FOM DAT.I PROJECT ADDRESS: .H1.1) (12 'cif/WI-tar BUILDING AREA(If residential new construction, remodel,or addition SF BUILDING TYPE:pl FR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: % �t,}�,:NrJ i .44 V .•'A•";�a'.`�:`is4,sih�' �:zu9 t �� :fi ff , tdii,''',a •TM: CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES (If low voltat : _ FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT# If a••Ilcable DESCRIPTION OF WORK: WV Cdr .1_30 • OWNER NAME: l tile 0 O) TENANT NAME Jr Commercial : OWNER MAILING ADDRESS: OTREET 0 0 -1.02 ,11 _., f fxsiziar clrrr STATE WY. ZIP gia03 OWNER PHONE: 40r �� 2_.,_.._.: OWNER EMAIL CONTRACTOR NAME; Cxy) , CONTRACTOR ADDRESS: STREET I` A* - Oily k -.- STATE 'a' ZIP A Wil►g '- CONTRACTOR PHONE: r` Oji CDCONTRACTOR EMAIL: • ett. et.° c u fr CONTRACTOR LIC.#(REQUIRED ; ,�1 1A �� 111M1 CITY OF EVERETT BUSINESS LIC.#REQUIRED PRIMARY CONTACT; 0 OWNER L1CONTRACTOR 0 OTHER(Please SpecIfy)Y+ _� ..y. �,,.M...•'^_ ..... .y CONTACT NAME; , CONTACT PHONE: am. W CONTACT EMAIL: 1 r ,/a 0:14411Tr jrythio t19 AGREEMENT.,7 hereby cerflly that I have read and examined this application and know the same to be true and correct. All provlslona of laws end Ord noes 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 stale or IOCS/law regttlattng construct/on or the performance of construction. That I em authorized by the owner of this properly to perform the work(or which eppllcotlon Is made and I comply with the Slate Contractors Law 19. 7 RCW and 209.200 WAC. City of Everett Official Use Only FEE S PERMIT# Xt&tj2dotit. ( 2--2j E k to l k - `� 5 Owner/Authorlaod Agent Signature Date (Revised 10/12/2015)