2701 RIVERVIEW BLVD 2019-07-08 - Laserfiche WebLink

• • &ECTRJICALPEPMTANJCAT11ON 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 j www.everettwa.gov/permits PR J CT PUS PROJECT ADDRESS: '70 I Rwre/tq` °L i..) �1 .j d � � `"i 8203 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: 0 COMMERCIAL USE OF BUILDING: e S+c�e. �i ut 01+ a t i) �O • ELECT•ICAL APPLICATIIONN INFORMATION CONTRACT PRICE OF WORK:$ 340 0 NUMBER OF DEVICES(if low voltage):• -e' FIRE ALARM? 0 YES rif NO ASSOCIATED BUILDING PERMIT#(if applicable):- • DESCRIPTION OF WORK: lace 2O O aro-.p (Le_ �� r e d Co oar.-t p C rt -Jv ear-le ;:CONTACT;•I.NFORMATION. :: _ . OWNER NAME: A S r\Ck4' N\ti^7VNat.yrs r TENANT NAME(If Commercial): 6 OWNER MAILING ADDRESS: sTEEEr or 7 0) g,1V'Ci i CITY r-veitttht; STATE `� ZIP 418203 OWNER PHONE: 2.0 to- 2a-7 -21-16? OWNER EMAIL: CONTRACTOR NAME: 4 A-Z rI ' `C 1.. •.Se-if'V I c e. CONTRACTOR ADDRESS: STREET 2?,O I M Cl Al S O v _ CITY 6re".2.44 STATE VPZIP '18 2..$) CONTRACTOR PHONE:6:2-5)2:32- 13 a t CONTRACTOR EMAIL tltt a e Zeie c'k;Cejrice t I V 65rn CONTRACTOR LIC.#(REQUIRED):E C- 0 t rszES 82,4 / CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 58198 PRIMARY CONTACT: 0 OWNER KCONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: h CONTACT PHONE: t(26-2_31- i 3�.1 KQ-14e. .3 2a retie-- CONTACT EMAIL: adz e.L ec i C C_ rnot AGREEMENT:T hereby certify that I have read and examined this application and know the same to be true and correct. All provisions' flaws 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 417 tOO,o9 og- PERMIT# Owner/Authorized Agen ign ture Date (Revised 10112/2015)