Laserfiche WebLink
0427r ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 3003 W. C:gS4 g , iE VE E T/ WA q 52 4 Co -3 i •4o-56 <br /> BUILDING AREA(if residential,new construction,remodel,or addition) 11/A4 SF �- <br /> BUILDING TYPE: El SFR-DETACHED 0 SFR-ATTACHED El DUPLEX 0 MULTI-FAMILY-#OF UNITS: , ,c:OMMERCIAL <br /> USE OF BUILDING: I <br /> ,ELECTRICAL APPLICATION.INFORMATION <br /> CONTRACT PRICE OF WORK:$ IA/ Doo <br /> NUMBER OF DEVICES(if Iow voltage): <br /> FIRE ALARM? 0 YES 0511O <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: i-.is f Fe-ebe e s L 1c0 Aj <br /> Uc 1411KAG A Ces12b 'b -o S. <br /> CONTACT INFORMATION <br /> OWNER NAME: THE i3oIC.C)i•-11 Piscb19 TENANT NAME•(If Commercial): 13OEtNt2r <br /> OWNER MAILING ADDRESS: STREET p0 $O)L 3 ICY1 p �7 <br /> CRY STATE WA ZIP t3l2..-�n! <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: . E 5UOYA EL-E -r -4G/ L1_G <br /> CONTRACTOR ADDRESS: smear l•St 5 NE '21.1b pp���� <br /> CROt`. <br /> Y R-tE1>MID STATE WA L 50 <br /> P 9 52 <br /> CONTRACTOR PHONE:425. 814. bcOD CONTRACTOR EMAIL: gara•tostangert seettosc4 r1.cOYr1 <br /> CONTRACTOR LIC.#{REQUIRED): 5eQ UOEi r9-1159 CITY OF EVERETT BUSINESS UC.#(REQUIRED):.40 1, 5Y' <br /> PRIMARY CONTACT: 0 OWNER plat<TRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 42,5.10 5.I'1 n <br /> aARy 8 -, 1:12- T M CONTACT EMAIL: a:3a r9•1oe~(a ii e r L seelystic,II•qoyll <br /> AGREEMENT:I hereby certify that t have read and examined this application and know the same to be trve and correct. All provisions of laws and ordinances governing this type <br /> of work will be completed whether specked 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 <br /> local law regulating construction or the performance of construction. That l am authorized by the owner of this property to perform the work for which application is made and! <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> 1.i7 a E tgod' 1O <br /> t-t <br /> Owner/A orized Agent SigLtature Date (Revised 9/23/2016) <br /> p o.j c7—G'Oaxb rUA7"07e— <br />