12615 16TH AVE SE 2020-02-24 - Laserfiche WebLink

ELECTRICAL PERMIT APPLi+ ATi'+C i i - CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,,WA 98201 (P)425-257-:..10 j FAX 425-257-8857 I (E)everetteps a(,,' everet a:gov( wwweeverettwa govipermlis' RROJECt'SITE I N PROJECT ADDRESS t Cal S t. BUILDING AREA(if residential,new construction,remodel,oradditioAL.AD°0 SF BUILDING TYPE:)4 SFR-DETACHED 0 SFR-ATTACHED CI DUPLEX El MULTI-FAMILY-#OF UNITS:. El COMMERCIAL. USE OF BUILDING: `E `e R CAL APP .,ICATiO 1N `TION CONTRACT PRICE OF WORK:$ i\°000 NUMBER OF DEVICES(if low voltage); FIRE ALARM? Cl YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: tj.3 rr e ,r)e,,, S f CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srr CkrY STATE ZIP" OWNER PHONE: OWNER EMAIL: • CONTRACTOR NAME: txrvtyv v-i' Pi 1t'S i OC., CONTRACTOR ADDRESS: sme r 0, R r X. \P 3. circ o.r .lCVs),i, sTAIE 1,xlA zP "` a-1-7 CONTRACTOR PHONE: CONTRACTOR EMAIL: CtortooncL 0 Erso‘r'vi n en4-.Cowl CONTRACTOR LIC.#(REQUIRED): C Ati,1✓ X,1(4ICI_,.. CITY OF EVERETT BUSINESS UC.#(REQUIRED):C3 aci I( y PRIMARY CONTACT: 0 OWNER . CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: N,,,,,ando... ‘46,Avors4n CONTACT PHONE: aGo tes,5 3 ej ti 3 CONTACT EMAIL: ,y++ .n do...0 4`vx.b/EAJT.Co A AGREEMENT:t hereby certify that f have read and examined this application end know the same to hitrue and correct All provisions of laws and ordinances governing this type of work wilt be completed whefherspecrjred herein or not The granting ofa permit s:not presume to give.authorilyto 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 properly to perform the worli for which application is made and! comply with the State Contactors Law f8.27 ROW and 298209 WAC, City of Everett Official Use Only PERMIT# Owner//Authorized Agent Signature to (Revised 9/23/2010