8401 HOLLY DR 2019-09-23 - Laserfiche WebLink

‘ re''' ELECTRICAL PERMIT APPLICATION C-:TY D- =VF:RETTPERMI'f SERVICES 320D CEDAR STREET, EVERETT,WA 93201 (P) 425-257-8810 l FAX 42.5-257-8357 I (=)?varatteas@everet ,ve.goit I www.everettwa goy/permits ?ROJECT;SITE 1IiFORMi4TiQN PROJECT ADDRESS: g 0 ari,1j 1 /7-- •,..., 3tJILDING AREA;°P;a;;yr:�a i'a:.;:',D,13:—...7:!`)" ---- SF�= _ _D__ TYPE: _ , __ -0� -�_Lt,_r 3= -t"-�..5:-rte )'1''_: Elk ;t 'Abri ,. D . ,i.r. `!L3�ti3; [ - ELECTRICAL a4FPIMAtitif ift1=C ItWlAIt N 1 CONTRACT PRICE OF WORK: $ 7 0 , NUMBER OF DEVICES(If low voltaaa): FIRE ALARM? Q YES ,' NO ASSOCIATED BUILDING PERMIT#(if a plicable); DFSCRIPTroN nF IIORx• -4 �.Ap lj ' ". • F.(tri Commsr:HO: Dwu_rt MAiLIN:3 ADDRESS: :"c. N C/W srs r L /7 �1 Q�j p IDWNERP i?cF=: :363. t '.7 L�t�R tS i— i, t ?W,tER:4EAIL: ;� ti_____ VA#S_ L g L R t, ; �DNITRACT02 ADDRESS: ar-t_=r �t 11-1i75 %�D -t�..,t' • carrL-iRCit, 1J1/A- zip (TES 2o j CONTRACTOR PHONE: r srarE e. r+�"f !4. • CONTRACTOR EMAIL: t 7ait , fr C a 44, ={REQt11REt)):•"fl it- • s` CITY OF EVERETT BUSINESS LIC.#(REQUIRED); ,Q ._ PRIMARY CONTACT: 0 OWNER IACONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: 5✓�'►�1�i CONTACT PHONE: 1-IQ5 s'et b(e CONTACT-EMAIL::ale ;I . 0 vitati •corn AGREEMENT:I hereby certify that I have read and examined this application and know the same to he true and estreat. AN provisions of laws and ordinances governingthis of work will he 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 stale Crlocal law regulating construction Cr the performance of construction. type comply with the State Contractors Law 18.27 RCW and 296.200 WAThat I am authorized Ey the owner of this property to perfertn the work tori which application is made end! City of£v.erett Cificiel Use Cciy > PERMIT#E q.t. 1 —Ce- c( I alto.) /aSIE Cwr:ert}1ut1 arized 31geri Sigratute Caze (Revised&i2:7/2Cie;