1801 VIRGINIA AVE B 2020-04-02 - Laserfiche WebLink

kECTRCAL PERMIT AilkICATION - 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 I www.everettwa.govlpermits PROJECT SITE INFORMATION` PROJECT ADDRESS: ' (3Cr) Vii itti i Ave- BUILDING AREA(if residential,new constructio ' remodel, or adction) 1 UUb" SF BUILDING TYPE: 0 SFR-DETACHEDI5�5FR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELECTRICALAPPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 3 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 19<10 ASSOCIATED BUILDING PERMIT#(if applicable): / n DESCRIPTION OF WORK: ( - ;i w.-,,yt.,, . ►ole, G `�cux G;'c w i45" /e czSS-vef c-cvt 15 I.F (o c v. S , ►�e�,a�1 (C)2 "ILL, ,`u. f `CONTACT INFORMATION.. . OWNER NAME: ()p,,,�/`� 4 19 ;��cc $-i- t ;c TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET I bot y ; -N;(7... AIR.= CITY £ve4i q -- STATE (,t r� ZIP f e r OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: AMS e Iecam: ��ni C—r�� CONTRACTOR ADDRESS: STREET 6 I-(c S A'k/ A ti G ✓I.‘ CIN K t% 1 STATE L/ ZIP 'S3 z CONTRACTOR PHONE: CONTRACTOR EMAIL: J CONTRACTOR LIC.#(REQUIRED):AMS Lf✓ R )M j.. CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 5'-(0 3Z PRIMARY CONTACT: 0 OWNER I92IONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: L(Z _ 1—t ($3(0 3` ry T• - CONTACT EMAIL: 6.4),, /rM SQ to Alex-`i,1<roiMPlo.e .COWN AGREEMENT:T hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordin aces g,$ierning 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 1 am authorized by the owner of this property to perform the work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE 16D°° PERMIT# EL% - 121 Owner/Authorized Agent Signature Date (Revised 10/12/2015)