2501 HARRISON AVE 2020-01-29 - Laserfiche WebLink

ILECTRICAL PERMIT A 4'UUCATIO igtf.'././"‘"/-7-.P :. CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwagov I www.everettwa.govlpermits PROJECT SITE INFORMATIOw PROJECT ADDRESS: 2.5-0/ mart--; 0(1, /WEI., • -/ i'1- PA- BUILDING AREA(if residential,new construction,remodel,or addition) ( c-6©O SF L owpt c/04r' BUILDING TYPE: 0 SFR-DETACHED 0 SFR ATTACHED ❑DUPLEX El MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: t� e.-411 ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 5 2 6 NUMBER OF DEVICES(if low voltage): -� FIRE ALARM? ID YES ,NI-NO ASSOCIATED BUILDING PERMIT#(if applicable): `� DESCRIPTION OF WORK: re►�,011Pe' 're)�d'�=--' j o'b,'n itzlii2CZ- tAlk r,- C'Vlic . rep 1 a&e__ /Ay;kin fr)ir,E;s_X . . • _ : ;CONTACTINFOR11t1AT10N OWNER NAMEY....PAT t^ C.Anr`(Y\ TENANT NAME(If Commercial): OWNER MAILING ADDRESS: ser 501 (-44rr i 561 AA-- q crrY j�(�ere4-4-- STATE WA' ZIP a a?� r OWNER PHONE: 6`'7(�1 '(q Tv OWNER EMAIL: `1 i y \NO N1 V,OC•.o CONTRACTOR NAME: PI(42_,,c)k 7 I e,,thci,CAL (of 1'-i"rcL ed--,4 e s f ) CONTRACTOR ADDRESS: STREET 2 P_4't 64 Cr' rpo l ' . - -`:'/ / 62_53 CITY bbb /� J STATE ,,�� ZIP q ' CONTRACTOR PHONE: -1 Z$` 7 Lo M -71'7, CONTRACTOR EMAIL: jrl:, ("t I,; I CONTRACTOR LIC.#(REQUIRED): ? �' ----------------- v CITY OF EVERETT BUSINESS LIC.RREQUIRED): .�i,6/I 5 PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER(Please Specify) ,,r- ::: _ " - CONTACT NAME: Art_r‘, beiljeir CONTACT PHONE: . CONTACT EMAIL: AGREEMENT:T hereby certify that 1 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 t am 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 296.200 WAC. rn --7 a✓r� 1 __ (Ai i'd 'D 1 f17� / � q r{ PtY l eirl- FEE City of Everett Official Use Only Of' ----- l � PERMIT# 1 I.-- -- ( a. N 02,Cik Owner/Authorized Agent Signature Date (Revised 10/12/2015)