4224 RIVERFRONT BLVD 2019-03-14 - Laserfiche WebLink

LECTRQCAL PER rMIIT A__W1 IIC.t TION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 } FAX 425-257-8857 ) (E)everetteps@everettwa.gov j www.everettwa.govlperrr lits M _ L ROJIECT St E Il FO �1VIAT Of PROJECT ADDRESS: /-13201 124--r. -- cep - tIli-14'4- BUILDING AREA(if residential,new construction,remodel,or addition) 122-03_ 0 SF BUILDING TYPE: El SFR-DETACHED El SFR-ATTACHED 0 DUPLEX El MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL. USE OF BUILDING: f IELEOTWCAL APPLIICA'T9ON IINIFORY1f ATO➢ CONTRACT PRICE OF WORK:$ NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERIVIIT#(if applicable): e (OLIO"- ,X DESCRIPTION OF WORK: /i (^ e) `l AL) S.-fay' f'2_ CONTACT= IINFORM�TION = OWNER NAME: i i tf „yinTENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: 1h. R CONTRACTOR NAME. t .' `1 . ..�, r1 CONTRACTOR ADDRESS: ,) STREET 11'O Oti4l CrtY Kat STATE l/ )( . ZIP 4102)2-- CONTRACTOR o L >- CONTRACTOR PHONE= ,)q /."`(Q2051 CONTRACTOR EMAIL: �s CONTRACTOR LIC.#(REQUIRED) I I Y i Fa/J j M1 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):t)tQ2—t O PRIMARY CONTACT: ID OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 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 aloes not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction orthe 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 1627 RCWand 296.200 WAC. City of Everett Official Use Only FEE PERMIT# nerzed Agent Signature Date (Revised 10/12/2015)