2930 HOYT AVE 2019-09-24 - Laserfiche WebLink

eel*I"-* ELECTRICAL PERMIT APPLICATION 444WCITY 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/perrnits PROJECT SITE:INFORMATION PROJECT ADDRESS: cgie93 Noyr v6" BUILDING AREA(if residential,new construction,remodel,o addition 6 OO S F SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED %DUPLEX 0 MULTI-FAMILY-#OF UNITS: g''- 0 COMMERCIAL USE OF BUILDING: Aillei'21N11¢,187 • ECTRICA APPLICA....TIONINFORMATI.ON CONTRACT PRICE OF WORK:$ ' (z(,•0 IP • NUMBER OF DEVICES(if low voltage : FIRE ALARM? ❑YES P 0 ASSOCIATED BUILDING PERMIT#(If .••lica. : DESCRIPTION OWORK: VRA✓ \IDA /am fly k!7-442A1 P,., DA- 5 r ® / �►t CONTACT INFORMATION OWNER NAME: 44 ho 6 C.//O ° ,zA 7 rti` TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 02ffO�/�//g4iAt �L/ i'' /4g'i� _ coy �l^TY/^SVP STATE VA. ZIP 8633 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: %1 ite.7-0/2.i CONTRACTOR ADDRESS: STREET �/ ]5 2.6 WOOD/iv vi lie /)✓4'Od) Eb N6-+- 9'10 CITY WOOD/A) 0 �,,�SyTATE �, ZIP CONTRACTOR PHONE: 4ZS 6j CY-- 7/ CONTRACTOR EMAIL: RYl`D/v/'Y)C'30eNDEr� C i i : 4-+• �- CONTRACTOR LIC.#(REQUIRED):CeC zr b to G CITY OF EVERETT BUSINESS LIC.#(REQUIRED): IJ PRIMARY CONTACT: ❑OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 4Z G7 ._- S 3 3 '1. Vfc,s9 C- ft,0 CONTACT EMAIL: g yniv,71L /300 C :Ate AGREEMENT:l hereby certify that I have read and examined this application and know the same to be tnre and correct. Alf 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!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# rte. ��5"�� EW (Th -� Owne Authorized Agent Signature Date (Revised 9/23/2016)