4924 9TH AVE W 2018-06-08 - Laserfiche WebLink

ELECTRICAL (. CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 J FAX 425-257-8857 1(E)everetteps@everettwa.gov everettwa.gov( www.everettwa.govlper its PROJECT ADDRESS: -`4 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFRDETACHED FR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: CONTRACT PRICE OF WORK:$ ,;,,r ay.Lit, ( 61 9--b0 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: "-e- 4 A-- Y-- ' r.. OWNER NAME: -C TENANT NAME Of Commercial): OWNER MAILING ADDRESS: snwcTT D- ern } °y, srAr€ ZIP ' �_[ OWNER PHONE: `1 c:7 - E"I 1 DOWNER EMAIL: • CONTRACTOR NAME: y • A `1 -�� '"1 '� -i,-- CONTRACTOR ADDRESS: STREET +� - l �" -- q�rr� y CITY Or\61„,11/6; t i t Le_ sTATE ZIPW J 8 _ S -LtrO g CONTRACTOR EMAIL: (\O v—el s ro ry 1 ,rit..1 CONTRACTOR PHONE: 33 CONTRACTOR LIC.#(REQUIRED): rib Y' 1 CITY OF EVERETT BUSINESS LIC.#(REQUIRED) 04.)--1+Ll f PRIMARY CONTACT: 0 OWNER 620NTRACTOR El OTHER(Please Specify) CONTACT N E: CONTACT PHONE: i `I " '� ,. r CONTACT EMAIL: Y t t I. fes€- 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 becompleted whether specified herein or nat. 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 t am authorized by the owner of this properly to perform the work for which application is made and l comply with the State Contractors Law 18.27RCWand 298.200 WAC. City of Everett Official Use Only PERMIT# c9- id- -le E `802- O M Owner/Authorized Agertt Signature Date (Revised 9123/2016)