Laserfiche WebLink
0000, ELECTRICAL PERMIT A. LJCATI <br /> ,--.- CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 J (E) everetteps@everettwa.gov j www.everettwa.gov/permits <br /> PROJECT SITE INFORiMiA77ON <br /> PROJECT ADDRESS: 3( O 5- 'P(N Os. ST• V�it T 1 (/al y, <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF L OBee/12-FS(iu.1l_ie \f 1 <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: dCOMMERCIAL <br /> USE OF BUILDING: I-to <br /> ELECTRICAL`APPLICATION INFORMATION . <br /> CONTRACT PRICE OF WORK:$ OD <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES 541O / p�`.{,,, <br /> ASSOCIATED BUILDING PERMIT#(if applicable): 1 J 011 Di?0 `�D b Q e)d/�• firbiiii-• <br /> DESCRIPTION OF WORK: IQbO 14E t,..15u 13 ''PA t (fel <br /> u <br /> 12 to&? A ?is./ "aN b -T-1-0-1 vy, owl- t 1.--I Cq-tfri L .,o N r3 <br /> 1—t73DY f d2 f.5 T'p k 1e- r fl A• ) NSTA t.irtg T t O 'NJ 0C N (e)AfiYL.ois <br /> 12-EP)-ACr L(Ket I Ji L-T 7t 1 t) bo -'�° 'C .?T 3 C S CoQ-6C\ n-S <br /> f‘Q t FLASO <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: VF-C,A G((L G <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER IiYCONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: , e)(0,-'- l••{ — S-09 <br /> b9s504 CONTACT EMAIL: ir\ 01),) 1), O 5wi Q..t Q C,C,O <br /> 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 <br /> 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 <br /> 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 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> \ po°cH,....., <br /> PERMIT# <br /> Owner/Authorized Agen -115171-re Date (Revised 10/12/2015) <br />