4423 S 3RD AVE 2019-05-23 - Laserfiche WebLink

AIIPP,,/,--,,-..,;,17---i-r,, L_ECCTRICCAL P RMiT UCATION y Er 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 '• ' '- �: ' ::�-:..'. PIS*JCK-hfi':Slit:iNPORMAt1°%bk � . ..... ... ..:...... •....: PROJECT ADDRESS: (.1-227 , c)(..4...41.1mrd P 1 V t_ 1je.(G44-- 'BUILDING AREA(if residential,new construction,remodel, or addition) SF 'BUILDING TYPE: 0 SFR-DETACHED 0 SFR ATTACHED ❑DUPLEX 0 MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: ELECT'le 4 L -,IPPILIC,1TI I1 4 INF*MI .TIO 1- • .. CONTRACT PRICE OF WORK:$ 740 OD NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES XNO ASSOCIATED BUILDING PERMIT#(if applicable): . DESCRIPTION OF WORK: IN 9 U-I \&3 Zoo fk7Y 4 j'\Jt C2. ®dl -4'kC flolia„ 6, 4- g-i.-),Ary ors- pro?ecA-9 , . OWNER NAME: - TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CRY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: h RE � .. .,.. . ., e p ( � .,C/_ ,, _ M CONTRACTOR ADDRESS: STREET /:g./-:g./- /&v't /fr1 vim' CrrYt, , /re- STATE 2/-14- ZIP 9 CONTRACTOR PHONE: �? (4( CONTRACTOR EMAIL:"Ij /e C1)C Gjrl'1.4i11 I e$W\ CONTRACTOR LIG,#(REQUIRED): -j 6r�el,.. 36 CITY OF EVERETT BUSINESS LIC.#(R.EQQUfRED): 57-1_n$ r ..,s� ._-. .±�.�k., ..:> �..�w_.�� .a,,.�.:�.o�.t_,=w,_ : .w _ ...., _ .. . PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) • CONTACT dc_' AME: CONTACT PHONE: Q'ac- -��eD —4 `�_ ' As4 fy6.1i, CONTACT EMAIL: , , , je dlC �(l / _ exAGREEMENT T hereby certhave 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 1 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 . AA ' \ bp .- -40- 11160 i �.'- PERMIT# A��' Date7 /�7 E n1 \ og--) Owner/Authorized Agent Signature (Revised 10/12/2015)