2510 BROADWAY 2019-01-17 - Laserfiche WebLink

HLECTRICAL PERWIIT A4UCATIION CITY OF EVERETT PERMIT SERVICES. 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 J FAX 425-257-8857 J (E)everetteps@everettwa.gov J www.everettwagov/permits PROJECT ADDRESS: f it,c)o/s %U SPJ?/ A15) & CiT 411 X31 y8 BUILDING AREA(if residential,new construction,remodel, or addition) SF BUILDING TYPE: ❑SFR-DETACHED 0 SFR ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: • 0 . ISL..:: .,.• � •�:'� . `....,EO'lt';`;IIC/k L APP)IadC#.TION INF*i°:NATION CONTRACT PRICE OF WORK:$ I2 S 00.0 o NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES NO ASSOCIATED BUILDING PERMIT#(if applicable): it)vv.i/L DESCRIPTION OF WORK: I) 3STAL( fLOIGATE\j CLC.C..V 11 AQD To ex.irct,E. kWU OWNER NAME: WEPDY S • TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET ZS (0 4?.t jar S)(O Al5T Cry .()A7iYj.� / STATE W]) ZIP .9S OWNER PHONE: ZO(p -3 ?E 2666, lOWNER EMAIL: CONTRACTOR NAME: SuLct FCf CTm C. 1 k)C . CONTRACTOR ADDRESS: STREET 24' /'f Sol"/"AVE S. 46/e7/ CITY ‹e-p/4 STATE CEJ ZIP 9eiosz CONTRACTOR PHONE: 210 675 Z.3 C•C CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): SC)VTI \ 366V k CITY OF EVERETT BUSINESS LIC.#(REQUIRED)) 16.4 PRIMARY CONTACT: D OWNER $CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: .2,06, c 20 69 t ?os-1" ZIZE,.0/3U CONTACT EMAIL: AGREEMENT:T 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 l comply with the State Contractors Law 1a27 RCW and 296.200 WAC. City of Everett Official Use Only I FEE * \ \ % PERMIT# /0-30 -ice /Owne—r/Authoriz Agent Signature Date (Revised 10/12/2015)