3020 GEDNEY ST 2020-05-04 - Laserfiche WebLink

kECTRilCAL PERMIT A LUC TION mitiwy,c,�r 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 INF oNATI O 1 :: PROJECT ADDRESS: 30 /- 0 G d n e y BUILDING AREA(if residential,new construction, remodel,oraddition)Ref re Plod e l k3(t , -- BUILDING TYPE: ASFR-DETACHED 0 SFR ATTACHED 0 DUPLEX 0 MULTI-FA LY-#OF UNITS: II COMMERCIAL FUSE OF BUILDING: ` . ,S', i U P Q.d e..- ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ T;pie and // fete(a / S C:00 • NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES RI-NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: ReIDc&+ / g e. plaCe (Vi o-:n fCty' C e. i ii e lett Ilan of ra.cIe. W it, ini +0 cut te,h t Code- re lig re netif . - :.....: ....:. .C ...TACT: . INFORMA- TI-ON . .. . .. - - - .. . :. OWNER NAME: f 7 e. 1/e, f/et 1/ TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: 3 (0 76 / 3 6 ) I' OWNER EMAIL: CONTRACTOR NAME: EX cc / E l e c fP i s 4 Servs c t v CONTRACTOR ADDRESS: MEET I Z.t ' /Q3 8 fj. c f se , Try$ „ / ( i ; a C re e ( CITY W/A STATE / O o/e ZIP CONTRACTOR PHONE: Z. /0 b W0 Z- /0 7 CONTRACTOR EMAIL: pAifJo7 fb i-rpe 0 a U//odic C6/11 CONTRACTOR LIC.#(REQUIRED): E C EX C EL ES I.t.3 C R CITY OF EVERETT BUSINESS LIC.#(REQUIRED;: Z. 6 q ‘ q PRIMARY CONTACT: El OWNERuK cVl CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME:` CONTACT PHONE: Z 6 6 Q C/0 ../0 7 p _ f1 f I f A p e c CONTACT EMAIL: 4 11 a) f A iv Pe® a of to 0k , c Sir 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 I am authorized by the owner of this properly 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 1,50 PERMIT# .s.i.., /2/of /tot? 2 - 01 0 Owner/Authorized Agent Signature Date (Revised 10/12/2015)