1726 SILVER LAKE RD 2020-01-22 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION /4 ,//77- ,_E7/ . CITY OF EVERETT PERMI—�tVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 j FAX 425-257-8857 1 (E) everetteps@everettwa.gov j www.everettwa.gov/permits PROJECT ADDRESS: /7 Z /525,-e_ 2 /-3 BUILDING AREA(if residential,new construction,remodel,or addition) /ZOO SF BUILDING TYPE: IR-DETACHED 0 SFR-ATTACHED El DUPLEX 0 MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: e ELECTRIICAL•APPLOCATlS N IINFORI11ATION _' CONTRACT PRICE OF WORK:$ Z7 0 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 111YES 8116 ASSOCIATED BUILDING PERMIT#(if applicable): p /� DESCRIPTION OF WORK: -z / c,1 A,4 '`n t /c* � --- "' � INFO MA,T •� . CONTACT: R ION ` OWNER NAME; e A/-'7s 6-e � �'1 • TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREET /'7 24„ Sj2li�y G.at € / �! / v-z r'G CITY STATE W if- ZIP / 8- 2-O OWNER PHONE: 2 d 6 -- 44/1 - /(,FS OWNER EMAIL: ' CONTRACTOR NAME: S/�•CD ;Po-4W ev'7LPS 2,vC D i3/9- PA.6 IA/ri-,e 5/ 7'c /`G CONTRACTOR ADDRESS: &Rau / 'Z 7 ¢7:21 ^ t' , N�= CITY •s.- let ZiIn. STATE ZIP 7s-e,Z 9' CONTRACTOR PHONE: 4 25--6'77-4 Z 7 CONTRACTOR EMAIL: PAZ b Wj r-€ Q-L-J /i-TQ i( , C b k CONTRACTOR LIC.#(REQUIRED): PR6 W/e $- 34 Z N 7 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 053-9'3 PRIMARY CONTACT: DOWNER 0 CONTRACTOR 0 OTHER(Please Specify) µ-~�.�y��.-_,,......"...,.„�..w.n.:.e-�,,.�.,.,.....��...,.,......�,....,...,,__�, CONTACT NAME: / CONTACT PHONE: %ZS-- 6 7 7 — 41 2.. 7 J , CO .D Com/ [//i'L� !M P� b•�J CONTACT EMAIL: p Q w/ , eM/4,/ 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 ornot. 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 FEE IP�ERMIT# • _eJe__ r i ///,,E-Ab i BOO,5- /(0 Owner/Autlioriz,,Agent Signature Date (Revised 10/12/2015)