901 GRAND AVE 2020-03-06 - Laserfiche WebLink

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 J www.everettwa.gov/permits PROJ0CT SITE INFOIRMATIOI1 , . PROJECT ADDRESS: 61 I w GI Irl t1 y Q„.- ( y`�iY-� i v r Pc I � 4 BUILDING AREA(If residential,new construction,remodel,or addition) 00 0 SF BUILDING TYPE: SFR-DE�TACHED0 SFR-ATTACHED CI DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: 1,1, 71Ob 1—) Q A EhEC_ PLMC..:10 0# 0, o.N CONTRACT PRICE OF WORK:$ I ,C7 0 . NUMBER OF DEVICES(If low voltage): i1 FIRE ALARM? CI YES ❑NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: re) ex') cels.st-iY {, -nt►}6(�1I��sfizc I I 1 C41U o��-i a • w► ►'1 Q,%� _Vc C 2 vv�i Y,e, CONTACT INFORMAL ON' OWNER NAME: NI t?1 -cb -t TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREET Sel rn� /� -y) CITY / STATE ZIP OWNER PHONE_��(0) t' 3 I?(4 _ ... AWN�ER EMAIL • ..- K...... ... ... ....._.... CONTRACTOR NAME:\ EV 7 IIZ I WCL/� CONTRACTOR ADDRESS: STr3dET 2 I�O ? CC x 1 C- CITY ZD V v STATE W f C ZIP °-. 2.0.O CONTRACTOR PHONE: 425) 2-j) CONTRACTOR EMAIL: \es I6eirny a •Vv CONTRACTOR LIC.#REQUIRED):'- BEC--) 022_0 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): CPq1 5 I j PRIMARY CONTACT: ❑OWNER ,CONTRACTOR 0 OTHER(Please Specify) CONTACTf �NAME: CONTACT PHONE: 14-7614-76 5C5 - 072_14-I L fs 1 I CI *Y� ai* in f CONTACT EMAIL: _�S I . S VY vyci .6,0 --- AGREEMENT.T hereby coaliy that I ave 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 RC W and 298.200 WAC. City of Everett Official Use Only FEE PERMIT# I 1,01()-1--/ (p) Ow r/Authorized Agent Signature a)(16tpnlaX) Data (Revised 10/1212015)