2515 HOYT AVE 2019-11-01 - Laserfiche WebLink

LECTR CAL PERMIT APPUC1 TIO ,2r.../......A viiiir-j -,- 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 I www.everettwa.gov/permits 200/5 PROJECT SITE INFORMATION _ PROJECT ADDRESS: / H O'1 1 A U- BUILDING AREA(if residential, new construction,remodel,or addition) SF • BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED ❑ DUPLEX ID MULTI-FAMILY-#OF UNITS: 1a1'COMMERCIAL USE OF BUILDING: 6�r f As i t.i. ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 1-4Li7 • 4 " NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES AI NO ASSOCIATED BUILDING PERMIT#(if applicable): AIWA. • DESCRIPTION OF WORK: t (v OTALL. O /-JA P 3(''rtell S E 2-0S Uo LC l Z u(t t c)R. 3trle.O.,c_1/4A sq.& CONTACT INFORMATION. OWNER NAME: t C/0(r.Pt.( s --&p O L TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2.,7 0 f3 Hoyt A-u t= cmr E-7v I(ZE (( STATE CU A. ZAP 9 9=-0/ OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: M G t9 t ba 1( E L,,.e cj t cam, (sO %N L CONTRACTOR ADDRESS: STREET 3576" S(-(p(R 1 ST' f crrY �.►o l-L R. STATE 1.9-1ZfP 9 P.A0/ CONTRACTOR PHONE: 425 30S-e>6(.1 3 CONTRACTOR EMAIL: Mc t,oxiNf 'E.L.g.. Rtc. sZ, & M M M,t.. CONTRACTOR LIC.#(REQUIRED): N(C,b(tJ(C®03`(JZr CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 0 3€$3 tic. N PRIMARY CONTACT: ❑OWNER ar CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: if2c5 3.08 0 G/3 PA t tc-e CONTACT EMAIL: Begat AGREEMENT:T hereby certify that I have read 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 lam 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 WAG City of Everett Official Use Only FEE . 4 11 1,0 [/--. PERMIT# Owfier/A thorized Ag ' at Date (Revised 10/12/2015)