5901 23RD DR W SEAWAY CORP 3C 2018-04-16

efP,--,A AECT ICAL PERMIT A N PICATI R O I.►,,,dw_ 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 'gig PROJECT-SITE INFORMATION y , ;$ _'` PROJECT ADDRESS: cq6 I 2,5 n1 Tt", 1 ,. BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: I9'COMMERCIAL USE OF BUILDING: ` ELE :APPLICATION INFORMATION ; - ,. CONTRACT PRICE OF WOR • O,D0 NUMBER OF DEVICES(if I w vol a e : FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 14-Acti",rJ., 64- 10O dol op 11 �D , ?,ice Ie- rc�r'-4- iz'— -F/c w,c ) - co 6-, f� 2'O0,, (-4- ''3Q Gtr 5 v, a51- /.G.K re c,p lu.,-C. 6,1„..,, CL("e , _ CONTACT INFORMATION r _- , ' OWNER NAME: TENANT NAME(If Commercial): •1:v' $c lj 0 SA OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAI CONTRACTOR NAME: VvA,g ni,.[.,-..m.,-- -T�c._. UIJS� CONTRACTOR ADDRESS: STREET e' tp p t w c.(( S4- /� r� CITY "0t ,, STATE l/t)a ZIP 9 6LZJ CONTRACTOR PHONE: . 4:;c5-Ai c-c) 1 3 CONTRACTOR EMAIL: ./oNA 4,,, e1 c c 1- e.r A £, --- 4, CONTRACTOR LIC.#(REQUIRED) f9O DA-ET 9ccf KO CITY OF EVERETT BUSINESS LIC.#(RE' IRED): .Q PRIMARY CONTACT: aOWNER a/CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: ` CONTACT PHONE: S�. .e._R ice V4'0z . - CONTACT EMAIL: /1/40,1_, AGREEMENT:I 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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# 01/ 3 i z��, E 19-b3 - 21 ( -- 0 ner/Authorized Agent Signature Date (Revised 9/23/2016)