720 GRAND AVE 2020-03-06 - Laserfiche WebLink

OLT ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 f FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 710 644/g3 A/6- BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: VSFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: • ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ WWQ btu NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): (_ DESCRIPTION OF WORK: j--061W-LATZ D UE L 1 t2 S(i(l3 - p FJc i_ 4 2- 4(1.31T(C,AL- C� 11Ltct to r R.tu-,-p 51/t1-47760 CONTACT INFORMATION OWNER NAME: 3 CO L( /MG/Apktt./ /� TENANT NAME(If Commercial): e OWNER MAILING ADDRESS: STREET 1 ZO i'--O A UC= CR /Y C.�✓� STATE WA ZIP ecztif OWNER PHONE: .... . ...., _. ( . 49 ?J.-'7'"D4.0!!4 OWNER EMAIL:5ZQ{-t 1/1,•cc.4-p(gt.{C1O4Iktif7414rCenv1 CONTRACTOR NAME: eV •---tel (1-41-6: 14t:- r A(,t `J CONTRACTOR ADDRESS: STREET 2120 rig c;( C- CIN Wiq2eri STATE (JJ)* zip91 CONTRACTOR PHONE( 1Z ) 'Z-S Z—•3/1 L( CONTRACTOR EMAIL: k2 Ge.CP (.9 CONTRACTOR LIC.#(REQUIRED):fi(/ ,5`jqj R,) - CITY OF EVERETT BUSINESS LIC.#(REQUIRED):0 ,-7C.f c PRIMARY CONTACT: ❑OWNER At ONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: t..fZs,_ 1k Ltd CONTACT EMAIL: /6ew sr,2 5,5 1,1 Glia,Lrom AGREEMENT:I 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 I 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 PERMIT# d� � .-Z� -1 E IR D (0-n (, Owner/Auth/eL Agent Signature Date (Revised 9/23/2016)