4501 RUCKER AVE 2020-01-30 - Laserfiche WebLink

4.77 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 PROJECT SITE INFORMATION PROJECT ADDRESS: `( 'l v I, • L ,..v-2_. BUILDING AREA(if resi ntial,new construction,remodel,or addition) a Yr) SF BUILDING TYPE: SFR-DETACHED 0 SR-ATTACHED ElDUPLEX 0 MULTI-FAMILY-#OF UNITS: ElCOMMERCIAL USE OF BUILDING: kJC)S��Sk'eSi / , Cc. ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ S 7 NUMBER OF DEVICES(if low voltage): FIRE ALARM? El YES YES 'NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: g.e_rL 4 C(" $V f\..L i C e-., � R(A- e r" 1 ,25A S (-A .._ —c—. 44 . ,� � (2)3 T- QQ c�, ave . Lv wC-em ----A--P-A, (t.C. ce_k P • t 0?& \ c . to 5 ctv-c.-e_- -(-+' IN-cu-) w t ir-t SI. t -e-kr- vv., - CONTACT INFORMATION OWNER NAME: tR l.k.'Q tik `e. `' T NANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET \�® t�,l J 014. V—e._ /� fCfTtY s" �, ��STATE�g �.")� ZIP `t8e-s OWNER PHONE: �c Qr`( 37cif OWNER EMAIL: `CAte\-`^\♦ iA. C P'N CONTRACTOR NAME: 0 W VL`eS.--- CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED):IR/ CITY OF EVERETT BUSINESS LIC.#(REQUI RED): PRIMARY CONTACT: L�f6WNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTA lE: CONTACT PHONE: ,9-CG q( 5709 \ � � ./14 {, CONTACT EMAIL: ti,4„,A46.,_,,,,.,4_,- e vel d d f,,i+/1.,-- AGREEMENT:I hereby certify that!have read and examined this application and know the same to be true and correct. All provisions oh ws and onSnances 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 lam authorized try the owner of this property to perform the work for which application is made and t comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only I PERMIT# r Ct 6.81(f) E 11( 1') 1 'eOwner/Authorized Agent Signature o (Revised 9/23/2016)