1415 MCDOUGALL AVE 2019-02-11 - Laserfiche WebLink

a - ; r CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 f FAX 425-257-88571 (E)everetteps@everettwa.gov I www.everettwa.gov/permits P''OJECT SITE:11404 RhihAfi I Ni PROJECT ADDRESS: /1---0 g 04 b G LA,1 4--ve. BUILDING AREA(if residential,new construction, remodel or addion) SF BUILDING TYPE: FR DETACHEDACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION iNFORIVIATJI a CONTRACT PRiCE OF WORK:$ 150u,�� ' NUMBER OF DEVICES(if low voltage): FIRE ALARM? EYES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): • DESCRIPTION OF WORK: Tc,.. .- a �l'� (v,v-e JVtx) / i� h�,'4 4 ci Gijie--e— ✓1 b,A, - ( /04,-(---spc.,,I... 4 h. -ev- :;:: :. °.,�..:0,00"I'A0.10P MATTt4.-,:,:: OWNER NAME: J-C rltii"."-4" 1-5+- Ckw; S • Gt✓1 l?e• TL IA 14ommerciai): OWNER MAILING ADDRESS: STREET / Lb—el r- t C- L. a/ 4`c. CITY �(/`C V't 4-1- STATE(A./4. ZIP g�� OWNER PHONE: - 25-2--7 3/ 7 OWNER EMAIL: Vete t't/-5102__C CO rrviii1!-t✓ , Go 014 CONTRACTOR NAME: I r l eiLe P14 c-)-, CONTRACTOR ADDRESS: STREET" €7 !V 3 '�/3 ieJ .'�tf, , 'w / �L CITY (' kr.cci 11'e l Vv r4-. STATE (4 4„ ZIP 9Y 27' CONTRACTOR PHONE: '1'2. (/2t- y? S P CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED) ED 5-�^'l C 1.(1l.(.., CITY OF EVERETT BUSINESS LIC.#(REQUIRED) Uv PRIMARY CONTACT: 0 OWNER 1 ..CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 112 c-1121,, 21 S "Gh-✓I CONTACT EMAIL: AGREEMENT:T hereby certify that l 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 lam 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 296.200 WAC. City of Everett Official Use Only FEE . CA U91) ; PERMIT# \-� F It OV lid Owner/Author%_,7--7 ,-,_,4-,___ z dAgentSignature Date (Revised 90/92/2095)