1606 71ST PL SE 2019-09-10 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION I*►'> >. 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 J www.everettwa.govlpermits . • : PROJECT SITE INFORMATION PROJECT ADDRESS: ..lf (P\ SE E\te_yek-WA- CM/13 BUILDING AREA(if esidentia new construction,remodel,or addition) SF BUILDING TYPE:U FR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: te .,srk 1 spit ` . ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ q1y3»oo NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES V1410 ASSOCIATED BUILDING PERMIT it(if applicable): DESCRIPTION OF WORK: ems eidCW - 0,y'I Q F-C..T '4Y rnI' ti WO- tt '' .CONTACT INFORMATION OWNER NAME:Y'kirifttelk1t �,e120A TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREE{T�``L�,QQ II Q, se A Qr�/�Q 2� CrWy�G k STATE w zip 'q U.�.l.��.l OWNER PHONE:(t[2 18',,7 `.,OWNER EMAIL:: CONTRACTOR NAME: ClC kkAyno t \&"f l AC CONTRACTOR ADDRESS: STREET Skaak ST (� U CRY (�} 2,,. STATE aC { ZIP , CONTRACTOR PHONE(}-jut^ CONTRACTOR EMAIL:'ftJ,& tV r)Airt WCcd i '110) ,QedY1 CONTRACTOR LIC.#(REQUIRED):t eem tA2., 'a- ICITY OF EVERETT BUSINESS LIC.#(REQUIRED): LW(65 PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) 690 1- fJ. ©‘9 CONTACT NAME: CONTACT PHONE: Oti.D) b4l.^I L Va lbe (Ql d‘kjA1) CONTACT EMAIL: Li,k_ Cyc u $: m ( r'i AGREEMENT:f hereby certify that 1 have read and examined this application and know the same to he 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 fo violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That 1 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 1827 RC W and 296.200 WAC. / City of Everett Official Use Only PERMIT# d/" E \(6O1- t 1 OwnerlAutc rized Agent Signature Date (Revised 9/23/2016)