1620 PINE ST 2019-09-24 - Laserfiche WebLink

"IPAV—_,,--A ELECTRICAL PERMIT APPLICATION 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 . CT.. .• .. PROJ SIITE INt ORMATIIO .. .• . . ,. . PROJECT ADDRESS: to 20 F i ni s"}- ` v7p/re`i-C Y r " tq. BUILDING AREA(if residential,new construction,remodel,or addition) Ig col0 SF BUILDING TYPE:\ASFR--DETACHEED� ❑SSFR-ATTACHED ElDUPLEX CI MULTI-FAMILY-#OF UNITS: inCOMMERCIAL Y USE OF BUILDING: QS)(!`.a(r' ' 'a) :•E''ECT't IQ.q,I 01 .0^ko.$1N>F 040 N.. `. . .. ::g,,;:. CONTRACT PRICE OF WORK:$ 7(AP +2-2 • • NUMBER OF DEVICES(If low voltage): 1 FIRE ALARM? El YES E7 NO ASSOCIATED BUILDING PERMIT#(if applicable): , DESCRIPTION OF WORK: \ U Nv , I r s+z I i i 2. - Y10 C�I. &Ce.Sc, VY h r 2-20 _- Z0 rYl bo2a iftir . . " . • •CONTACTINFRMATION - . . . - - ... . OWNER NAME: `gYQOki 0.0...set 1 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET Up20 Pini. `S �/�� /�Q ('� i Q 311-CnY -7 }/V 4+ ,TATE Y �? X, ` CJ L/C 1 OWNER PHONE:LZ IS) `2- OWNER EMAIL: t e etAke„ Ty-4A1 .... )...._._. CONTRACTOR NAME: \f II JK' cc4.LC �-fr - c`--- CONTRACTOR ADDRESS: STREET 2120 a 1\vv_ �/�/ C11Y j )/�� STATE ' Y � ZIP q 2) CONTRACTOR PHONE: � 1-1-- CONTRACTOR EMAIL: \ 1 I•e. l� E�SSYY W t ,C�.OYY) (425)752-3 -� CONTRACTOR.LIC#(REQUIRED)aµ_Ev_Ek2C6s_a2 Zo � ,CITY OF EVERETT BUSINESS LIC,#(REQUIRED),Dd. GS ..... ,.. -. ��...�...,... PRIMARY CONTACT: El OWNER CONTRACTOR M E7 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (L5) 5D - D7LeS - CONTACT EMAIL: 1 fS l 1 e ess r 1 wa . Leryy' - AGREEMENT.T hereby certtly that i ha a read end examined this application and know the same to be true and correct A!!provisions of laws and ordinances governing this type of work will be completed whetherspeci ted herein or not. The granting of a permit does not presume to give eathority to violate or cancel the provisions of any other state or local law regulating constriction or the performance of construction. That tam authorized by the owner of this property to perform the work for which application is made and f comply with the State Contractors Law 18.27 RCW and 288.200 WAC. City of Everett Official Use Only FEE * • PERMIT# • dea--42/a 1 LI/i(a) i E lel DLA A' 1 ul) OwneriAuthorized Agent Signature Date (Revised 10/12/2016)