1516 WETMORE AVE 2019-09-17 - Laserfiche WebLink

4rETT ELECTRICAL PERMIT APPLICATION 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 i•j.i ;:. -.>.>::::; :..... '::.T..:PROJECT:.SIT :INFORMA. . :,::.::: E TION . -: PROJECT ADDRESS: 1c)I c \/\1-Q-mfr, Ayr . BUILDING AREA(if residential,new construction,remodel,or addition) AI I4 SF BUILDING TYPESFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: 12 S(A Qh : :. .. .: :..... : ..:::: :.. ::........:.:....,..;.::.:..: .:.:::..:ELE TRIAL:;APPLICATO ;.1NFORMATION: ::::: :.::.::.: ::::::: :: ;.::;:::::. .;.::.:;::;:;::;:;:::: CONTRACT PRICE OF WORK:$ 91 q t _C) NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 1\1()),11/4.) T Amp 1'o.}- *'uh G „,,,i+ £ hl-nk tt 2 ....:........... ..... ..:........ ..: :CONTACT.:INFORMATION OWNER NAME: 1\-75\1no Au t TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET tette \,/ ,....i-1-1,-\(-N-1- Avt, CITY t,V l K°'' 1 STATE A A ZIP I R',q)t OWNER PHONE:A Z-121— �j 2)C a, OWNER EMAIL: CONTRACTOR NAME: l�.l e s Rot CONTRACTOR ADDRESS: sTREEr 2L40 eI''°,I^-P)- - Av-e Cn'r Ey k--Q, STATE tjVA ZIP q 81 ' CONTRACTOR PHONE: A3-int('—L-U5-1 CONTRACTOR EMAIL: )(I (0. @,.... s r)Q.(-rh in ‘ rfor CONTRACTOR LIC.#(REQUIRED):GSTp,Shy q ao jQ CITY OF EVERETT BUS NESS LIC.#(REQUIRED): DI CI t0 S PRIMARY CONTACT: D OWNER [CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: .L.1 AS _V:A0, 4 2=71 3Oiot, ,+-1-01,tOf d CONTACT EMAIL: so IAC a 0 shp(i ( Col AGREEMENT::I hereby certify that i have read and examined this application and know the same to be true and correbt)All provisions of lalesiand 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 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 PERMIT# .,301la_d ji 5/AS/1 E k%0S - .S S Owner/Authorized Agent Signature Date (Revised 9/23/2016)