Laserfiche WebLink
12/19/2017 07:51 FAX 425 377 1976 REX ELECTRIC 1�001 <br /> I■��TR���� � �� �►� Ltc��to� <br /> CITY OF EVERETT PERMlT SERVICES <br /> 32Q0 CEDAR STREET, EVER�TT, WA 98209 <br /> (P)�25-257-8890 ( FA�C 425-257-8857 j {E}everetteps@Eyerettwa.gov ( vwvw.evere#twa.gov/permits <br /> !'R�JE�T SlTE �N�ORMA7"60N <br /> PROJECT ADDRESS: � � " <br /> BUiLDiNG AfitEA(if resident9al, f10W CORSICUC210f}, remodei,or addition) gF <br /> BUlLDING TYPE: 0 SFR-DETACHED ❑SFR- CHED DUPLEX ❑MULTI-FANifLY-#O�'UNiTS: COMMERCfA[. <br /> USE Oi�SUILpING: <br /> �.EC7'R�CA,L�4PP CATION INFO�MIATl0�1 <br /> COAiTRACT PRICE OF WORK:$ � .-.-- <br /> NUlViBER O�DEV(CE5 if!ow volt e): <br /> Fff�E ALA9�M? �Y�5 NO <br /> ASSOC➢A'TED BUILDI�G PER�Il1T# if a licable): <br /> DESCRIPTION OF WORK: � � �"�v� � ��LJ <br /> � /�7 ��" �' <br /> cor���c°r ���o��a�°�o� <br /> OWPi�R NAMf�: �' •� �C� a�— TENAfd'f NAME(I€Commerciat): P / <br /> o�r�a���A��i�uG�D���ss: S,aEFT � �.��"" �'1� . <br /> CiTY S7ATt Z�p �� <br /> OWNER PHONE: OW1��R EMA�1L: �� �° • <br /> COP7TRACTOR ADDF2lESS: 11112 98th ST P1E <br /> Lake S�evens WA 98�55 s�ar� z,a <br /> COEVTRACTOR PNON�: 42�-422-97� COPiTRACTAR EflAAlL: rri�eks mail.com <br /> CONTRACTOR�tC.# R�X�LES962N4 Ci'fY O�Ei/ER�'�"i'�UStNESS LIC,#Q�8749 <br /> PRIi1�ARY CONTACT: ►Z+ OWNER CI CONTRACTOR 0 OTHER(t'iease Spccify} <br /> COPdTAC'f NAME:Rvbi�3 Rie�ks CONTACT PHOt�E:425-42�-1744 <br /> ca�t�'Ac'r�n����:rr�ecks�grr�ail.corn <br /> AGl?EEIt�IENT.�T hereby certify that 1 Irave read and oxamined thrs applicafion and know#he same to bo true and correct All provisions of(aws and ordinances c�ovemrng this <br /> type of vro�ic wi1!be completed whether specrfiod herain or not. The granting of a permit does r,of presume to give authority to violate or cancel ttre provisions of any ctho�sfate or <br /> /ocal law regulating consfruction or the performance of constructian. That 1 am authorized by the oamer af this p�opedy to perfcrm tPrQ wark for�vhich apptication is made and I <br /> comply with the Stafe Contractors!_aw Y8.27 RC1Nand 296.200 WAC. <br /> City of Evprett Ofiic;"al Use Only <br /> ,...��...� <br /> FEE <br /> � � r �� <br /> PERMIT# <br /> �?- l�.0�9.���� � l�-�2 - l �-( � <br /> Owner uih rizod Agent Signatur� Date (Revised 90/12/2015) <br />