1106 SHUKSAN WAY LCL BEAUTY 2019-04-17

LLECCTROC*L GSE iilT AFII LIC *TON 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 ADDRESS: IOU, Sln v Sam '�/v(�,••, BUILDING AREA(if residential,new construction,remodel,or addition) - ct 0 00 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: COMMERCIAL IUSE OF BUILDING: 5\k,, ,c_ I �Ll>a'�`TltllCAtL d4P��,1CA`�'I�N tNF®RMATr<QN CONTRACT PRICE OF WORK:$ I 560 NUMBER OF DEVICES(if low voltage):• FIRE ALARM? 0 YES NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: P 0( C d 'EX. I c f L•INts ''t'v1 AELAIL O - :. '�: ..CONTACTINFOItM.QT10N. :._, . � ...:... :• . OWNER NAME: TENANT NAME(If Commercial): Le- V SP,G,04U OWNER MAILING ADDRESS: STREET J CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: CY E t e,e*%rcc& o kk4 avai gf \C-e:S CONTRACTOR ADDRESS: STREET 2175-fl 1 $ , CIN STATE V)Q` ZIP c O 03 1 CONTRACTOR PHONE: 1-42f) y c2.— 7000 CONTRACTOR EMAIL: v .eJ C9✓A (`,\ L �j�1. &J Sp` 5111 CONTRACTOR LIC.#(REQUIRED): Q, S LEES`1(OCowl CITY OF EVERETT BUSINESS LIC.#(REQUIRED):( j(�L(ZZ PRIMARY CONTACT: D OWNER HY _CONTRACTOR 0 OTHER(Please Specify) 'e‘� .{r CtLtu,Y1�R 9„m „��„u._M�� .•. .. CONTACT NAME: CONTACT PHONE: 'UjS -q3 1 -310c)-1 0,,y s a' CAI'aL CONTACT EMAIL: ,300,kgse. C��gy�^hrAq JO�U�OVIS i GOWI AGREEMENT:T hereby certify that 1 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 296.200 WAC. City of Everett Official Use Only FEE (q7�� PERMIT# ,, -2,— oal� E 11 f( -- Z Owner/Author e.A.- Sign. u : Date (Revised 10/1212015)