1711 52ND ST SE 2019-09-10 - Laserfiche WebLink

&ECTR!1CAL PERMIT A I I LICATION _: _ CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 J (E) everetteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT ADDRESS: k"1(t SO. id 5-\- 5e Eve.y,11- W R 989.03 BUILDING AREA(if residential,new construction,remodel,or addition) ADD SF BUILDING TYPE: i.SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: k ► C _ ELEO' 'RICAL A,PPLIcATION INFORMATION CONTRACT PRICE OF WORK:$ t, V w3 I Q NUMBER OF DEVICES(if low voltage):, 37 FIRE ALARM? I }-YES ❑NO ASSOCIATED BUILDING PERMIT#(if applicable): • DESCRIPTION OF WORK: P ACtV, t p poor pOkAltAk 1r Q.IAA'/`t krAir\ SLfvt C.L. LAf3t 0 7 A- .- :' % ' . - . .. .. : ... °, .. : .,:C,ON'i`ACT:INFORMATION-. : .. - - OWNER NAME: "Tex( Mt_ rje j 1` nli TENANT NAME(If Commercial): OWNER MAILING ADDRESS: ser nI k 5a, 'k- se , crry .EvLJ'!.i'1- STATE wA f ZIP ga)('53 OWNER PHONE: Ark- `j(3 - 7 801 - _OWNER EMAIL: +0..41(11 CP S j 5-�'Lr 1!1001$ Ori..oI , ,,,, CONTRACTOR NAME: C_to�-c F 1.Q�yl c- C CONTRACTOR ADDRESS: STREET 5,9` . �� A11Q •1, CITY E e,{/np,/\h STATE 6,1A- ( ZIP g c CONTRACTOR PHONE: P.06- t44 5. 44,--)1(.4 CONTRACTOR EMAIL: 6t�,. r.k 0 I(^�LQ,l f L sp CONTRACTOR LIC.#(REQUIRED): (1fV�' ,L''l 5 N r CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑OWNER CONTRACTOR 0 OTHER(Please Specify) r CONTACT NAME: CONTACT PHONE: b _ "l 4 S (,4 21 LI CONTACT EMAIL: 0/1 C t utkc..zt eG t GS2 COIN1 AGREEMENT:T hereby certify that 1 have read and examined this application and know the same o 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 lam 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 ' 1 , ,_ 46b ,6 �� _ _, i \\ilk PERMIT /.' r t.01X1_05.____ F b 1 0 - Owner/Authorized , 10;tare Date (Revised 90/92/2095)