1207 58TH ST SW 2019-09-10 - Laserfiche WebLink

047 EMECTRICAL PERMIT AP..ICATION 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 I www.everettwa.gov/permits 4k ffir ! I t IMi* li G } s o g Ae worlM Ga..'u ^ilk.. PROJECT ADDRESS: IZ(b-- -,h (sv1 v 6 (2- BUILDING l/BUILDING AREA(if residential,new construction, remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED `l' SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: IiN 111 iiia�;��:'.:. "� � ��ii l�kii �:,fir. i..;.••' -= iipmi it �F r.: _rJ,i iii„�,z� �s N'4Pr 4iom nh'^._ ,!moilii ii '�i�i�yiiiii , k w �h ui�ti�'Nyi r a' I,�R�ti;i r e;;. �! 4 A I' `r - _ , ori j, >i � i94 i? k'rs r 'j ki �-� �.— ____. tki+.�` v'” 1°'iS�j�IIh.i;!b,0 . F,. ... . „ .4,—�i „,4 o..�—,ur x,0 h,-, 4—=r"Z�, _a .0.. Ai,.. ,4.,00 CONTRACT PRICE OF WORK: $ I NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES . 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: fk u 4 - °L./n-01 1 I. c-vv4---ka..0...t- yN fit_, l. ti , M `rM•sI JMN, .q r h i ) skj4 r 4. rr 44,� � ^me! tl w:h Bo , +� ari� yR ! Wr '� i � �. a i� �i9 '4r6 iI & O� 41 mi' �ko-;ftFil ' K!L lihir� 7XMgtl � . ' 0,IjhQi. it , �wxfLgil� OWNER NAME: . 41 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 22 Nkz-'' �" ou d CITY 2'Ai STATE & - ZIP gg2L OWNER PHONE: J lg.CPC) OWNER EMAIL: M k-&..UL, \ 0 CbW�( .S*. 1•ti.SI CONTRACTOR NAME: Oma ` 4 -E-k U - i e eiNNA: \ \ ( O\&S CONTRACTOR ADDRESS: STREET PD 1t CITY N LAI STATE WA. (_ ,,ZI,P l&21-0 CONTRACTOR PHONE: �s(UO•I..p &.9�� CONTRACTOR EMAIL: (/hr-Z Y "� C¢NY, CONTRACTOR UC.#(REQUIRED): `� C11-kCg(�1�JK-f\ CITY OF EVERETT BUSINESS LIC.#(REQUIRED):, r c Jg PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (N,Q 0 . ct.-9.GO 0 j, �` __ CONTACT EMAIL: )Y1`�U( j �1 L 1 AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true'and correct. All provision1-4f laws and ordinances overning 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 fPERMIT# �-- ' (3 (,g E l9;1b 3- Of3 Own /Authorized Agent Signature Date (Revised 9/23/2016)