Laserfiche WebLink
&&ECCT IICAL PERMIT AI= l*- UCCATION <br /> ,,/ <br /> ' _, - CITY OF EVERETT PERMIT SERVICES <br /> , 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 ( FAX 425-257-8857 I (E)everefeps@everettwa.gov I www.everettwa.gov/permits <br /> :. 0•ojEct SITE INFO .6t ATIIi> <br /> . <br /> PROJECT ADDRESS: 1 e/j c 7 C'i S f` 5-L4 e , � _. <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: COMMERCIAL <br /> 'USE OF BUILDING: 0-410C3S,t <br /> EL CTRiCAL APPI�UCATION I FORMATION • _ <br /> CONTRACT PRICE OF WORK:$ .)00 ,oma <br /> NUMBER OF DEVICES(if low voltage):, <br /> FIRE ALARM? ❑YES id NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 0/1 _0 VA (3) --62.1s"r F.V:i5-L-�- O O riter- .C--,4c,e./ti-S- <br /> 1 <br /> - 2) SLJ t-c--:ICIIC s F;(4_.. rCl"ew 75.06Q--(A-44 YS; CR) ,/fi e ,,?2,) 3 4r . <br /> Oxy Flav��S<��— t-" zzt Fie . <br /> ... ...: ... <br /> .. . . .. . . . ::...:. <br /> OWNER NAME: 34a-- 4 5/ 690-P TENANT NAME(If Commercial): A1/0 ill 7114Gig 4I/- <br /> OWNER MAILING ADDRESS: STREET 7 SOC:?V 'tea f',tta.,.-...t47-„u,,,,-4. 13 L Lis? <br /> CRY Tv k c/-- in-- STATE CAJA-. ZIP <br /> OWNER PHONE: 0p4:7 - ,277— 5-2 7 i OWNER EMAIL: Oaf?(i"C�'!n C' rq/ yE crr . C c9 <br /> CONTRACTOR NAME: ()A.I(trey G(E,7-4,„ Co w-c <br /> CONTRACTOR ADDRESS: STREET Y((j((IX> /AAA uu,,t.. (/ Cl. kLW y- p <br /> CITY u e vr•rP 77STATE v G,ZIP L 8,C' I <br /> CONTRACTOR PHONE: ittc•-.3 z'- 77 y( CONTRACTOR EMAIL: k w&—t/k-be„,, ,-c . c ct.._ <br /> CONTRACTOR LIC.#(REQUIRED): Vn 116--e C. 11//NA CITY OF EVERETT BUSINESS LIC.#(REQUIRED):t �cSe9 <br /> PRIMARY CONTACT:W E9 OWNER . N! KONTRACTOR N 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 42-3--- 3,2`r 79 <br /> 4 Gk 162_ CONTACT EMAIL: P--r-k(C to 1//I 41.T-/y_c . C GYA..� <br /> 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 <br /> 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 <br /> local law regulating construction or the performance of construction. That l am authorized by the owner of this property to perform the work for which application is made and! <br /> comply with the State Contractors Law 98.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> 1--(0Z ' <br /> n <br /> /: PERMIT# <br /> /i/ / 04 e h VUO3 - 1q- <br /> Ow•-r•uth. ' ed Agent Signature Date (Revised 10/12/2015) <br />