3530 FEDERAL AVE 2018-06-07 - Laserfiche WebLink

4.- 3 CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 425-257 .;10 I FAX425-257-8857-8857 (E)everetteps@everettwa.gov I v#ww.everettwagov/perrnits PROJECT SITE INFOR TION PROJECT ADDRESS: 3530 Federal Ave Everett, WA 98201 BUILDING AREA(if residential,new construction,remodel,or addItion)800 BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX O MULTI-FAMILY-e OF UNITS: .. 0 COMMERCIAL USE OF BUILDING: res dent a ELECTRICAL APPLTIO .. INFORMATION CONTRACT PRICE OF WORK:$ file NUMBER OF DEVICES,If low vo •. ; FIRE ALARM? 0 YES E1 N ASSOCIATED UILDIN PERMIT#(If applicable): DESCRIPTION OF K: Replace 2nd floor knob &tube wiring. CONTACT INFORMATION OWNER NAME:Tames Eros TENANT NAME(IfCommercial): =OWNER MAILING ADDRESS: s-; -3630 FederalAve CV Everett 51-ATE WA zg,98201 OWNER PHONE: 425-381-5694 OWNER EMAIL:teras68© rnai.Codi CONTRACTOR NAME: nia CONTRACTOR ADDRESS: STREET Sin, STATE Z1? CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC, U BQUIRED) TV OF EVERETT BUSINESS Lie MREDUIREM PRIMARY CONTACT: ia OWNER 0 CONTRACTOR 0 OTHER(Please Specify) ,CONTACT NAME: CONTACT PRONE: 425-381-5694 Tarrlas Eros CONTACT EMAIL:teros68@grriall.corn AGREEMENT:I hereby certify that I have read and examined thisapplication and know the same to be(rue and correct. All provisions<af taws end ordinances gong this type of work wilt be completed whether specified herein or net. The gran-dap of e permit does net presume to give authority to welate:or cancel the provisions of any other state or lanai law regulating construction or the perfomtwosi of constrectkin. That;:I em authorized by the owner of this prrperty to perform the work for which application is made and d compile with the State Contractors Law t8 2T RCW and 296.200 WAC. City of Everett dial Use Only PERMIT# 4 '` E l DLi - , ..„„ Owner/Authorized Agent Signature re Date (Revised 9/23/2016)