1222 RUCKER AVE 2020-05-05 - Laserfiche WebLink

00zErr— ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: t a A a I tA.Qk e r$o� 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: k€ 1IJ Rpt ck_U ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ a51) NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: -Teern poroLfL( a rvi c CONTACT INFORMATION OWNER NAME: terrj \jL.etl'J^ �.f .� In'TTENANT(NAAME'�(IfCommercial): OWNER MAILING ADDRESS: STREET , ppt �'��1.`Q k-€r Rue_ CITY �,w V�. STATE tiaR ZIP q'1D0 I OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: PeC- h .r1Ce. teC..„'tTI G CONTRACTOR ADDRESS: STREET )Berl .; c?j r,ci 9 t L) ) LOP ¢ L -CCI�TY •�� -T\W c,,STATE WP ZIP Q O Q CONTRACTOR PHONE: 4 3 !6g"&10"3CONTRACTOR EMAIL: ( -SC7rnkC1n.Cee'tett'ce-WEe )e• r,� Q con CONTRACTOR LIC.#(REQUIRED): G tK--to�E1Q 1 0% CITY OF EVERETT BUSINESS LIC.#(REQUIRED):otisn s PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: l.ka x.'-16 t-(.- Sk OS C �� Q �1 SkYoCYI CONTACT EMAIL: p e rcor rncxrCe ele Wil'1 c ^W ou. AGREEMENT.I 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 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 PERMIT# El cA--bB2 Owner/Authorized Agent Signature Date (Revised 9/23/2016)