3607 ROCKEFELLER AVE 2019-04-30 - Laserfiche WebLink

tLECT 1 C AA L PERMIT Ad NUCATI1ON I�4 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 www.everettwa.govlpermits PROJECTS 1TE ANF RMA`T04 .. :.... PROJECT ADDRESS: 36[' 7 ,ock ' A ler /Lie- - BUILDING AREA(if residential,new construction,remodel,or addition)/9-.051 Orey7%W SF /30 a' BUILDING TYPE: gt SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: 5'-,/c' �,r1''77 ee"5e• SCP - OLECTRBOAL APPLICATWN 11)0001•41110 1. CONTRACT PRICE OF WORK:$ r- 410 c c-1‘/ 47 .meownc't. NUMBER OF DEVICES(if low voltage): FIRE ALARM? YES ❑NO ASSOCIATED BUILDING PERMIT#(if applicable): • DESCRIPTION OF WORK: {d/�Se 42/9.5" ea4'ce cI < / oliA/ of f¢l/ -gThZe ,fie- (ocle 2 , /14 F/e cp/ , e/ r6rde iffed ccacrcv ED$es-/3/- :. . _:. .. .. : . .......:: ... - - � :.: .:CONTACT;INFOltitAATION- :.:. OWNER NAME: Tp,Ji¢1d x,,4,012-- TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 36o 7 //�� q/Q ^� Qe CITY .41/C9Ie I STATEA)A//�� ZIP < (/ 20/ OWNER PHONE: 2c- 23�J`-2 3 75 OWNER EMAIL: #G 2_0/133a Com^' YA-4-ot) . CONTRACTOR NAME: .... ..��ec- , .. . .. ... .. ... . .,..N.. .. . . .. ,. , ,. ... . . . .. . . .. -.. .... .. ... .., .. CONTRACTOR ADDRESS: STREET • CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑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 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!am authorized by the owner of this property to perform the work for which application is made and! comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE coo. 06 PERMIT# 1 0 57.2-3724,( IF —17k Owner/Authorized Ag tSigne e Dat (Revised 10/12/2015)