1700 13TH ST 2019-06-05 - Laserfiche WebLink

OS' CTRICAL PERMIT APCATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 } (E)everetteps@everettwa.gov 1 vvww.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: (7400 l3 `{ N�- 5-� �V t✓E'L-R--�-I to AC (o V1 � BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: litCOMMERCIAL USE OF BUILDING: tAceptta ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 1.00 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES 'VINO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORKoo - 4e tb Pe e4 5 encr4 j f`c fc./G, r e-/0/ GeCi CONTACT INFORMATION /I OWNER NAME: Fro t)iG 5 tvE�� ic�r+ENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET IBC)( V *'16.162 CITY Re:Atzwl, STATE Li zip OWNER PHONE: 'OWNER EMAIL: CONTRACTOR NAME: Vee-A t^(car; CONTRACTOR ADDRESS: STREET CITY Secj _ STATE A)4 qS 108 CONTRACTOR PHONE: 2.0(e E(.,Q 5-2o 'CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): U� Cr-CcLf2 M v 'CITY OF EVERETT BUSINESS LIC.#(REQUIRED): t7d 4{5 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR MOTHER(Please Specify) Fie_ CONTACT NAME: CONTACT PHONE: 2-0C, Q CONTACT EMAIL: J j, SchtoJ, `-' e, V&A Cts AGREEMENT:I hereby certify that I have read and examined this application and know the same to be tare 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 gIYe 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 RCWand 296.200 WAC. City of Everett Official Use Only / PERMIT# 1E SI02- 24.7# Owner thorized Age- Signature Date (Revised 9/2$/2016)