223 109TH ST SE 2020-01-23 - Laserfiche WebLink

ELECTia:.ICAL PERMIT APPL[CATI• '‘I CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)4•17//—::::257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: "2.-"Z..'3 — I c7ciit ($4%-. BUILDING AREA(If residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED El SFR-ATTACHED U DUPLEX 0 MULTI-FAMILY-If OF UNITS: 0 COMMERCIAL _ USE OF BUILDING: . _____ ... ,------ .. ____. ELECTRICAL APPLICATION 11FORIVIATION -- _ _ , ____ —__ ,,,......1•1111011 CONTRACT PRICE OF WORK:$ 60014r) NUMBER OF DEVICES(if low voltage): FIRE ALARM? a YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: ,AsZticiiveet /12e4'0 ,r- ti Fr/Z pt.) 0.-v-pf-, . . . • •. . . . . ...• . .• , : . . • CONTACT INFORMATION • _ — OWNER NAME: PArr/Z-fal ifiAld<tlee-krj re TENANT NAME(If Commercial): OWNER MAILING ADDRESS: smear 12.1 • crre &V&7Zërt STATE li)A-.. zip 4ZP OWNER PHONE(3& c) 4130 - 6-2,57 OWNER EMAIL: CONTRACTOR NAME: a>0.,_,4,,,,..„, - 4 -WC- le AT fi CONTRACTOR ADDRESS: smear 01 2 0 t:(74 C.14.C.- • . { CrtYaielSTATE (.411P4- ZIP Cil-W-( CONTRACTOR PHONE(/7.6) 251-3 1 19 n CONTRACTOR EMAIL: CONTRACTOR Lie:#REQUIRED): ,,a av?'" A„-,,2./RAJ CITY OF EVERETT BUSINESS UC.#-EQUIRED:44- cr55 .. PRIMARY CONTACT: El OWNER igCONTRACTOR El OTHER(Please Specify) — CONTACT NAME: CONTACT PHONE: k.f 2, Z-- i f It ( f CONTACT EMAIL: g,(,),..k... )tv 55/./..7 Ce_fez AGREEMENT:!hereby certify that I have read and examined this application and know the same to be true and correct. AU provisions of laws end ordinances governing this typo of work Wil be completed whether specified herein or not. The granting of a permit does not presume to gNe authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application Is made end! comply with the State Contractors Law 1827 ROWand 206,200 WAG, City of Everett Official Use Only PERMIT# /e4.,‘.., Owner/Authorized Agent Signature Date (Revised 912312018)