1708 ROCKEFELLER AVE 2016-05-26 - Laserfiche WebLink

_ECTRICAL PERMIT AF (CATION 111 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.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: i--Q f 1O r fL L ti4cA BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: S n ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ J O D NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: R.f.P LActi h -"Ll4t t FIFE-of-Ai Afpipt, ici p AdtkiffAko R}' TPLE§ PAUL CONTACT INFORMATION OWNER NAME: Sj}M�,� L3 GIC(u(IA / i�AU(L civic/stow TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET p? 0 Vi Ac&LLI ail POYLW, Pl Akcif cm L cA . STATE 9/3;, j ZIP OWNER PHONE: Fie 3AI f.6(I OWNER EMAIL: 4 w-u r g c GLOO , icier CONTRACTOR NAME: E►�Akf i) �P,,4(,�S icifipc CONTRACTOR ADDRESS: STREET 8� �3j//Tir 6,DLJ/. e ikon A- cm E//fJ'.rlSTATE !�4 ZIP 9/Z CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): Ek Lh/urs/yzun CITY OF EVERETT BUSINESS UC.#(REQUIRED):d/6363 PRIMARY CONTACT: 0 OWNER .12-CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: Li)..f Q2.37( A Z f Awl) ett/C44A,i��{ CONTACT EMAIL: Lre,ffl,t14. i ri/liVda i CG„L 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 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 lam 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 296.200 WAC. City of Everett Official Use Only FEE 6912'----- 41501/ PERMIT# /,/ E�r I , . • ner/Authorized Agent Si ature Date (Revised 10/12/2015)