3105 TULALIP AVE 2020-04-02 - Laserfiche WebLink

02/28/2018 10 : 33 #3187 P. 001/001 477 ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gay. I www.everettwa.gov/permits • PROJECT SITE INFORMATION PROJECT ADDRESS: () 1• 1.- j BUILDING AREA(if residential,new construction,remodel,or addition) SF --- BUILDING TYPE: d SFR-DETACHED E l SFR-ATTACHED- ❑DUPLEX Q MULTI-FAMILY-#OF UNITSL . ❑COMMERCIAL USE OF BUILDING: -Jr it., - ELECTRICAL APPLICATION INFORMATION _ CONTRACT PRICE OF WORK:$ • OG". NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES ❑NO ASSOCIATED BUILDING PERMIT# if a. Iicable): �j DESCRIPTION OF WORK: CC ,( 6 ' :2; A. P6 l� C "ti� Lla C . G 1 4 - E' . ,— CONTACT INFORMATION OWNER NAME: /4i2 Nth— g47 f c.4L TENANT NAME(If Commercial): _ OWNER MAILING ADDRESS: sTRESr M • . .A A .4• 1 - �.. CfTY rfrt:fixt STATE Mit • ZIP,EW OWNER PHONE: 2®6 r y (OWNER EMAIL: . ` CONTRACTOR NAME: ' 1 ! : 1 . - 1k. L � CONTRACTOR ADDRESS: srassT s' ' 4 .i / ./ Air - }e CONTRACTOR PHONE: !:41MIMMIIM CONTRACTOR EMAIL: • !jam CONTRACTOR LIC.#(REQUIRED): ( f"k•L CITY OF EVERETT BUSINESS LIC.#REQUIRED); c PRIMARY CONTACT: EI OWNER 0 CONTRACTOR E THER(Please Specify) IIF 4 A C /U_ CONTACT NAME: CO /h NTACT PHONE: l L3/ 22 OS 0 `II L,�er CONTACT EMAIL: AGREEMENT.'I hereby certify that I have read and examined this application and know the same to ba 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 298,200 WAC. w t 9.-' \ - O t 1 City of Everett Official Use Only PERMIT# Xi : / E(fQ) t SVG%O 0 'erlAuth i ze.AgentSignature D- - (Revised 9/23/2016)