Laserfiche WebLink
04/25/2006 05:21 2532882156 GARNER ELECTRIC PAGE 02/16 <br /> - P <br /> LcrRcALF R I IM ISI"IR--U A IU •N <br /> CITY OF E\/ERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, E\/ERETT, \NA 98201 <br /> (P) 425-257-8$10 I FAX 425-257-8857 I (E)everetteps@everettwagov I Www_everettvva.gov/permits <br /> PROJECT ADDRESS: O" �. <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: StSFR-DETACHED ❑ SFR-ATTACHED Cl DUPLEX ID MULTI-FAMILY-#Or UNITS: in COMMERCIAL <br /> USE OF BUILDING: <br /> CONTRACT PRICE OF WORK: $ 2C0. 00 <br /> NUMBER OF DEVICES(if low volta•v : <br /> FIRE ALARM? Ii YES NO <br /> ASSOCIATED BUILDING PERNIIT#(If applicable): <br /> DESCRIPTION OF WORK: f Ann p ^I,e m.f) <br /> CPNTACT INk•O•RM•ATIONd <br /> OWNER NAME: 1 • <br /> 41 0.v\ ,f\4 TENANT NAME(If Commercial): <br /> .s <br /> OWNER MAILING ADDRESS. STREET � � C-"1 y E�� <br /> CITY Be te. 4'U 3 STATE 1^I RST ziP r <br /> OWNER PHONE: 25 �' < i " ��� OWNER EIVMAIL: <br /> CONTRACTOR NAME: 1 ,�r rr' ea-14_, 14 IV- I—LC <br /> CONTRACTOR ADDRESS: STREET �7 411. .) A • (j', 'y <br /> CITY 1'tl tl 1 iew) STATE R- ZUP C) <br /> CONTRACTOR PHONE: 2 , °- 'L -CONTRACTOR EMAIL: I2 t ' ,(4-0L <br /> • <br /> CONTRACTOR LIC.ti REQUIRED); 40 S CITY OF EVERETT BUSINESS LIC,#(REQUIRED): P Q''• <br /> gym, .,..,. .,...... <br /> PRIMARY CONTACT: LI OWNER CONTRACTOR ❑ (Please <br /> .................m._,..,Y,..,.,�....,;.__..,,.. <br /> OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: <br /> \1 '- q l_ k CONTACT EMAIL: r6rtt p c-0,4 � s�c> <br /> AGREEMENT T hereby certify(he /have mad and examined this application and know the same to be true and correct. Al!provisions of laws and ordinances governing this <br /> type of work will be completed whether spec./fled 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 <br /> local taw regulating constriction 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 <br /> comply with the State Contractors Law 18.27 RCW and 296,200 WAC. <br /> City of LCverett Official Use Only <br /> FEE <br /> -45 0 <br /> PERMIT# <br /> . '.- da- E _DO <br /> Owner/Authorized Agent SIgi\aturo Date (Rev/sec/10/12120M <br /> .c,�- C Ue(A--6 ( O <br />