1415 50TH ST SE 2019-09-10 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810.f FAX 425-257-8857 I(E)everetteps©everettwa.gov I www.everettwa.gov/permits PROJECT ADDRESS: BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: SFR-DETACHED ❑SFR-ATTACHED 0 DUPLEX Cl MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: - ' `'t t• Fit 71,W4 410t**,:tOrkifff 111140044511:01-47 CONTRACT PRICE OF WORK:$ C ; NUMBER OF DEVICE ' low voltage): -FIRE ALARM? 0 NO ASSOCIATED BUILDING PERMIT#(if applicable) DESCRIPTION OF WORK: ••gei �,�' } Yn� „E (a Z .- I i } t C./1l1 CONT,A T 1N ORMATION OWNER NAME:i - �.:; ANT NAME(If Commercial): � � .a� � OWNER MAILING ADDRESS: sTREET }''� CtfY M G -t1 STATE A r L.t<..J OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: C(lbUX) cfYi .?. orp . CONTRACTOR ADDRESS: CRY CONTRACTOR PHONE: AULG/..- `I 40 CONTRACTORl tVEMAIL: f e ".C CONTRACTOR LIC. REQUIRED: A TO t I '0 e '° CITY OF EVE BUSINESS LIC.#REQUIRED: I PRIMARY CONTACT: 0 OWNER tr. CONTRACTOR 0 OTHER(Please Specify) CONT CT NAME. CONTACT PHONE: 0fl 04,,c+t2- a f.` t-e-/ CONTACT EMAIL: l: AGREEMENT.'I hereby..(fly that 1 have read and examined this application COnknow the same to be true and correct Ni provisions of laws and ordinances governing this type of work will be completed whether speckled 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 taw regulating construction or the performance of construction. That f am authorized by the owner of this property to perform the work for which application is made and comply with the State Contractors Law f8.27 RCW and 298.200 WAC. Atif r .� jig City of Everett Official Use Only PERMIT# Co (50 , /'�'cA7 E 0 -(36 Owner! 'horize. ..rant Signature Data 6 (Revised 9123/2tlf6)