3425 KROMER AVE 2019-02-11 - Laserfiche WebLink

,LECT TICAL PERMIT A L11CATIION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 FAX 425-257-8857 I (E)everetteps©everettwa.gov I www.everettwa.gov/permits PROJECT ADDRESS: 311 2..6 Ktaorlti Q AVS BUILDING AREA(if residential,new construction,remodel, or addition) SF BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED ❑ DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL • USE OF BUILDING: r ) • • IEL1ECTRIICf:L f_EPPLIC TJ•IISINFORMATION CONTRACT PRICE OF WORK:$ Ci NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: l.FsLfe-LLrra I 64, tAget P r'1 r �1 OWNER NAME:"1'10 W%C,.1,46 61/1)FrittN /TENANT NAME(If Commercial): OWNER MAILING ADDRESS: smear 4��jc',}� �1VK J. //�� 297- COY �L✓us '/•V STATE ZIP/137S1 OWNER PHONE: 12 5 2 7- 4 OWNER EMAIL: .. CONTRACTOR NAME: / 1T4 tI LtQI ' AJC,. CONTRACTOR ADDRESS: STREET 628 .5► 5P •u,.0 it• coy -002.10)/4/440 STATE tUJI ZIP t¶92 CONTRACTOR PHONE: � 186`) CONTRACTOR EMAIL: A Ave•it r a tril e.'.C?M CONTRACTOR LIC.#(REQUIRED): 17,N W,��j OJpH CITY OF EVERETT BUSINESS LIC,#(REQUIRED): 11574 ..... ...:�..: ..n r _wwvn. _, y_ _T..:_.._ ._rr .:.rxr .w TaM_v_,�. � : -a PRIMARY CONTACT: D OWNER XCONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: ,'g,60. tri • ` zi Da h)1314 1.•• CONTACT EMAIL: Astvne k M A 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 I comply with the State Contractors Law 18.27 RCW and 296.206 WAC. City of Everett Official Use Only FEE PERMIT# E 2 - C4-3 Owner/Authorized Agent Signature Date (Revised 10/12/2015)