1205 CRAFTSMAN WAY SLIP 3 DOCK H 2021-12-06

4LECTRJCAL PE MITll u LICCATION ,-,�,1i'_ CITY OF EVERETT PERMIT SERVICES. `��•-rli� TET. 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT ADDRESS: 1D-05 C___„...c kCa,v....w.v. — - BUILDING AREA(if residential,new construction,remodel, or addition) SF BUILDING TYPE: ❑SFR-DETACHED ❑SFR ATTACHED ❑ DUPLEX 0 MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL ➢USE OF BUILDING: &oa,'\-�L,`�e_ • ..;.. .. :. ,L�qq'',�r� pp6'�/�tttt /� pp ggr�aa..Ga yp ryry��p ryry,,��pp pp�� j'r�, .fir g - - .. : ...L515 _,. •-jS Y��I>;'lfti1��IS0l�ilK1�9v 9F9 plY��+J e. ` 8 1i�,'"`-i- CONTRACT PRiCE OF WORK:$ ( orf ,"- NUMBER OF DEVICES(if low voltage):` FIRE ALARM? ❑YES 0 NO ASSOCIATED BUILDING PERMITq#Cf applicable): n DESCRIPTION OF WORK: Y� Oo�k- c av�P� 0..e c o�.....4-c-k- :.: Coid7"AerINS®itlihA'C9®Q+9 -..: . : :. OWNER NAME: ,tC.r)C, . g,o..1.- .-Sa)V... TENANT NAME(If Commercial): OWNER MAILING ADDRESS: seer it—i?-1 4 ve_ >�5< cnr ^ . AA...-a —Z.4 L STATE (,.,3 Q, ZIP 917'434 0 OWNER PHONE: OWNER EMAiL: t .. i ... .. CONTRACTOR NAME: CL-w.�95 Co.�.pLl�tc cs� \ k — PCi-ww� -c" CONTRACTOR ADDRESS: STREET it-k . Lo.0 Co...,.,k S ,.-,e, k pd crry x.�.43--Oab STATE C.43 q ZIP J a p?9-p :CONTRACTOR PHONE:u `o`5 3 3O C:q (2 el-CONTRACTOR EMAIL:jOey I„Z j a44.41.5 co 1 H.C.. GO vA^ CITY OF EVERETT BUSINESS LIC.#REQUIRED CONTRACTOR LIC.#(REQUIRED):TAV�.E$G�$30(�,� #(REQUIRED): __ x f :�.-: .: . ,�-..o.r».:.�.> . . >.-._�-_ ..,..zr�,.x,....,.x.�..:,.,....,,��....,.,..-u,l_�..-- 1 PRIMARY CONTACT: 0 OWNER XCONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: To..e..) ! A Q vi.�wR..f! CONTACT PHONE: (4;-5)) 7�30—q 0 CONTACT EMAIL: i 0 el 1)4_ J a‘.wR$Ga i i ,GA+M AGREEMENT T hereby certify that 1 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 l am authorized by the owner of this property to perform the work for which application is made and! comply with the State Contractors Law 98.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE 4 qo.e..... / i PERMIT# 7l:-V/ A ne j ori : g tSignature Date (Revised 90/92/2095)