7601 EVERGREEN WAY DOMINOS PIZZA 2019-04-03

!LECT IC L PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: .,.,760/ Lei vrein ' ),q / ` t &--# 444 iV03 BUILDING AREA(if residential,new construction,remodel, or addiittion) `(C/CX) SF BUILDING TYPE: 0 SFR-DETACHED Q❑SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: JCCOMMERCIAL USE OF BUILDING: P l tiA. IfJe „k t' ' ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ / iC NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES Rig , ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 4-e..7 CZ. a Z'r»p/''Oc ✓H e'a 4 Jr.,Le.-- A;0`e, da„ sis e . NeAt.) coir/jyn re, i l o 3 -e be Ot -.sem . p V— r it a Le- �.s.eJ / •� a- CONTACT INFORMATION • OWNER NAME: Dom in O 'S A27,4- TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET .7401 r u eep ee•, t-JAY CrrY F(,e-ee..• STATE w4 ZIP 9 p2 03 OWNER PHONE: 4!Zg .3417 a 2-0Z OWNER EMAIL: CONTRACTOR NAME: PP'eLl.y'p* g 1 f C4-rs ed.-) Cori Ale Oh T7^gC4✓'S CONTRACTOR ADDRESS: STREET 7723 40G et - e4cJC . CITY /50,1/>eJ CAk.e. STATE Wq ZIP /939 ) CONTRACTOR PHONE: a$-3 Q 83 �3/9 CONTRACTOR EMAIL: 44pihems4orS e ;/9-lee•G`O.f,.. Q4Je CONTRACTOR LIC.#(REQUIRED): Pres re 7 T 3 ej CITY OF EVERETT BUSINESS LIC.#(REQUIRED) e4 PRIMARY CONTACT: 0 OWNER 'CONTRACTOR 0 OTHER(Please Specify) ► "3 a CONTACT NAME: CONTACT PHONE: v /53 73/9 g ) V te.AU low. l y,�) !"Lvf'Lt4fs CONTACT EMAIL: ,i../4.D 9- h4/t'.S 5 O� • �G 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 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 t, 1 O I -- PERMIT# T Qe OwnerlAuthori Igent Signature Date (Revised 10/12/2015)