2101 ROCKEFELLER AVE 2016-05-26 - Laserfiche WebLink

4L- ECTRICAL PERMIT AF _ICATION 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: jerlfffa 210/ /QcrA.e J f- G.^v BUILDING AREA(if residential, new construction, remodel, or addition) ,Ve"' 14''4 SF ce-h a-/e BUILDING TYPE: 'SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: 7vire__ `.,ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ Al") NUMBER OF DEVICES (if low voltage): FIRE ALARM? El YES EINO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: ✓e ,� I�S44/ it-9 e/ CONTACT INFORMATION OWNER NAME: k`> ,(� )1 ,/ TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET Vol K'CCkr tAr GiV CITY Cver'e11- STATE L✓/i ZIP n zc--)/ OWNER PHONE: 925 - `"2 3 " ? Z 3/ OWNER EMAIL: h)l/ Avp/el v� CONTRACTOR NAME: /7(VV'/ Cft` V-iwt Cc" AP•rN CONTRACTOR ADDRESS: STREET 90 /a7 (/ CITY 171.4%,IL.00a STATE /4/4- ZIP VJ CONTRACTOR PHONE: 92-43- -2/O -/(f3 y CONTRACTOR EMAIL: SCkT. I-1017C iLC , COI" ! CONTRACTOR LIC.#(REQUIRED): 4-)6 VtiC 12 Dom. & CITY OF EVERETT BUSINESS LIC.#(REQUIRED):O5-J c 5 PRIMARY CONTACT: 0 OWNER in CONTRACTOR 0 OTHER (Please Specify) .7-'t /1L,.-1/4C CONTACT NAME: CONTACT PHONE: 772,5 - Zip —/Y3! CjU CONTACT EMAIL: 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 �5°o 7 PERMIT# .... /049()) 4 E /0q Owner/Authorized Agent Signature Dat (Revised 10/12/2015)