2018 WALNUT ST 2020-04-03 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E)everetteps@everettwa.gov� www.everettwa.gov/permits BOJ C' LITE INF ATION PROJECT ADDRESS: 12...01t ,r,h c}. £w.4# v /off$to BUILDING AREA(if residential,new construction,remodel,or addition) RZV1.kod.6 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Skl1e ca,gi � tCI=CT 00At AP LION. 614 400.1 M k' ION"'' CONTRACT PRICE OF WORK:$ pop NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES SZ(NO ASSOCIATED BUILDING PERMIT#(if applicable): 1,10 0(v DESCRIPTION OF WORK: 14<-1Gr1l I/T Q M1 / G' � �t�'� r G ` Lt) i`, ./1 e-6 ,s c�c 5 , C i (-1 5_ . ONTACT'INFORMATI N, OWNER NAME: catt J &. i(Artf.. TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET L16'U, QSell `f.c, CITY {lrlu'tA — STATE wry ZIP 4%1.2,3OWNER PHONE: Eo., no tow l/ OWNER EMAIL: (E edlck e-paXvlwASA '^cul IIG•Com CONTRACTOR NAME: ®W 4.) CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: %OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 10, it \d( CONTACT EMAIL: AchActe ec6aha,ds p(6w+b,.*.tit•cwn AGREEMENT:t hereby certify that!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 tam authorized by the owner of this property to perform the work for which application is made and! comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# 9/16,04 E tgb"Co 1110 Owner/Authorized Agent Signature Date (Revised 9/23/2016)