8420 E XAVIER WAY 2019-11-07 - Laserfiche WebLink

ELECTRICAL PER I8T if4PLIICATION 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 P1fZJlE �`r, li� ONS PROJECT ADDRESS: 8%-i c) 0 `L x(,( v �� WC1 t"J 1 /�( tT' 1 8.16 U . BUILDING AREA(if residential,new construction,remodel,or addition) SF - BUILDING TYPE: ID SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ' '� : ... ELECTRICAL 4.00000461441060114:1100.1.; CONTRACT PRICE OF WORK:$ 5 NUMBER OF DEVICES(if low voltage): Yl 0 FIRE ALARM? ❑YES JNO ASSOCIATED BUILDING PERMIT#(if applicable): • DESCRIPTION OF WORK: 6444-h ,. . . . F-• C01itTACT:1)Nl'ORiVlATION:• . OWNER NAME: T� E . V V'Q I I TENANT NAME(If Commercial): I ! OWNER MAILING ADDRESS: mem' CA cr<y STATE ZIP OWNER PHONE: t ^O`WNER^EMAIL: T t � CONTRACTOR NAME: f2 -1- ,0 ( _ _ CONTRACTOR ADDRESS: sTRear._1 LOS IY- p(& c- f s k n errY 1 1 3 ) lJ �� STATE 1...„.A44: ZIP ! )p6 0\ CONTRACTOR PHONE:Q-15) 1C(—O-1/GJ CONTRACTOR EMAIL: u& S-t-'C.n'C L.C, )C.OM CCLO"'r r CONTRACTOR LIC.#(REQUIRED):WES1 ti j� CITY OF EVERETT BUSINESS LIC.#(REQUIRED): .01 PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: .5) 3 cl _ oy 2-9.„. < CONTACT EMAIL:Vs.Az —K o,e ( c Q(j r (C4 AGREEMENT T hereby certify that t have read and examined this application and know the same to be true and correct All provisio s of laws and ordinances governing this type of work will be completed whether specified herein or not The granting of 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 1 comply with the State Contractors Law 18.27 RCW and 29E200 WAC. City of Everett Official Use Only - a FEE / PERMIT# � E 00 �� OwnerlAuthorized ge t '•nature Date (Revised 10/12/2015)