225 92ND PL SE 2019-09-19 - Laserfiche WebLink

446'77' ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 ) FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: d 9 �� 1 a 111. BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED IRSFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): � ,s DESCRIPTION OF WORK: - - T'" -- "� ,.%/" a n it-e6,112,oe . tKIna CONTACT INFORMATION OWNER NAME: i) t'j TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 7.6?-0-. il Ci CITY STATE ZIP OWNER PHONE: - g .-74 '-f OWNER EMAIL: CONTRACTOR NAME: Y1 Y, rC 5Yh-7y CONTRACTOR ADDRESS: SWEET t-1/ ) 7$ +-''t ITdt CY (/ [ � STATE tuC/1. ZIP I CONTRACTOR PHONE:" O /� 9 8'd 1 CONTRACTOR EMAIL: -`^/C-L' �} C1Y }Y1 `B t t !!1 607-, CONTRACTOR LIC.#(REQUIRED): /cra, )a` v '"l2L' CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 7''/ f PRIMARY CONTACT: 0 OWNER Q,CONTRACTOR 0 OTHER(Please Specify) CONTACT N / 1)/6411._ 11, i CONTACT PHONE: 3 C� / t - gc. Adl t � td " `- CONTACT EMAIL: ,( C i/ 1207 /,1 s L1 tt AGREEMENT:I hereby certify that t have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing 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 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT �11' 1 . ._� ` E (Sng Owner/Authorized Agent Signature Date (Revised 9/23/2016)