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

LECTRIICAL PERMIT d LUCG TIION Vis. C 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 ADDRESS: (ca3 152 tc2j) Sr S BUILDING AREA(if residential,new construction,remodel, or addition) SF BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: W-e6MMERCIAL USE OF BUILDING: • • IELIEGT,'!CAL APPLICATIII.Ia I1NF©RI ATL*N : :. .. CONTRACT PRICE OF WORK:$ (y 0a- o NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES ❑NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: A lS b/2-7 /21 YG,Lie- J If X77- Rr-cyTACes - CONTAC T aNiFORMATF• OWNER NAME: /� �� FCX5 171'/I S;ever TENANT NAME(If Commercial): OWNER MAILING ADDRESS: /STREET CnY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Pan C- CONTRACTOR ADDRESS: STREET CT L4/l.J 4 LP- CITY Coy 60 (¢O - STATE ZIP 6d CONTRACTOR PHONE: 13 ?q2.7 CONTRACTOR EMAIL:�L�VA,C.)L D s yLiPl&(&IC r( ''7''- CONTRACTOR LIC,#(REQUIRED)^ 2)14f��(�� u t `c3>CeG S CITY OF EVERETT BUSINESS LIC`#(REQUIRED):S3 S� PRIMARY CONTACT: 0 OWNER I�CONTRACTOR 0 OTHER(Please Specify)_f2Ait4.ct q ?2,27 CONTACT NAME: CONTACT PHONE: 1/2.S=21 3-- ?92 7 /1-12.,e74 CONTACT EMAIL: AGREEMENT T hereby cedfify 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 l am authorized by the owner of this property to perform the work for which application is made and l comply with the State Contractors Law 18.27 RCW and 296.20b WAG City of Everett Official Use Only FEE ( oEO PERMIT# _ �►. l -z/8 E $0 - CO 5 1 O# er/Authorized Agent Signature Date (Revised 10/12/2015)