311 88TH ST SE 2019-09-18 - Laserfiche WebLink

0,677v ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 311 sig BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: • ELECTRICALAPRIr1CATION1NFORMAAICN CONTRACT PRICE OF WORK: $ 2.-50 . NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT# (if applicablj: DESCRIPTION OF WORK: In5tattcd- Q.-ss f2or _ CONTACT INFORMATION OWNER NAME: k Y ayk,K, i.lr 1 5 Co I ` TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 844, 5T L/{y j CITY aSTATE LA,5 19- zipf S OWNER PHONE: 1,4 ZS 150 ( 0 OWNER EMAIL: (CONTRACTOR NAME: DY‘ VaV.0 ( CONTRACTOR ADDRESS: STREET 1.5 WOadt,ijQ CITY - Re,T STATE '" ZIP 20 CONTRACTOR PHONE: L s Q b CONTRACTOR EMAIL: fiev5i C )(,hlh „- ya9 , re)rvi CONTRACTOR LIC.14(F2EOUIRCD): the- ,'41(6 77 ICITY OF EVERETT BUSINESS LIC.#(REQUIRED): I(PQ PRIMARY CONTACT: 0 OWNER 14CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: , CONTACT PHONE: L`at5 5q `�7jo Q(r? CONTACT EMAIL: ciao h •corn AGREEMENT:I hereby certify that I have reed and examined this application and know the same to 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 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* 11,1 - t7 E 0C1 Owner/Authorized Agent Signature Date (Revised 9/23/2016)