1523 132ND ST SE HEALTHY FOOT MASSAGE 2019-11-04

LECT 9CAL PE! T :*MLUCAT •N - 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.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: (c2-3 ` 32- j r 1j-1 BUILDING AREA(if residential, new construction, remodel, or addition) /2-4e> SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX 0 MULTI-FAMILY-#OF UNITS: tZeOMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 45 - NUMBER OF DEVICES (if low voltage): l FIRE ALARM? 0 YES 11FNO ASSOCIATED BUILDING PERMIT#(if applicable): ll r� DESCRIPTION OF WORK: 5 }L Yl I t-� N d-/V.1 1.- 1:1 LIT W/ nxtCr/ / o s c6&) CONTACT INFORMATION OWNER NAME: -k-4.A[ Y Tear- A✓t-mcvtaT TENANT NAME(If Commercial): f "-k) OWNER MAILING ADDRESS: STREET - I Z 3 6. ^� CITY STATE � j ZIP q� OWNER PHONE: 62,c, 26 Z - 33� C OWNER EMAIL: e-uercol '� Q- Cl Cj '., ( 1 •, CONTRACTOR NAME: k/V. S tUt (' S (if) CONTRACTOR ADDRESS: STREET --7- f J (G U 1 (f .S - cm,' ( ( , STATE ZIP qu CONTRACTOR PHONE:42-5--- ?co CONTRACTOR EMAIL: e_Uc rCC( aO V CONTRACTOR LIC.#(REQUIRED) ( SjUsQrjcjg______CITY OF EVERETT BUSINESS LIC #(REQUIRED) PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: A f t/.r ` —e.g. CONTACT PHONE: 4 _ `7 ca Cj d 2Q- 1 l�t�/ `� `�/`— CONTACT EMAIL: } GLa 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 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 PERMIT# t � (�I -00 Owner uthorized Agent Signature Date (Revised 10/12/2015)