Laserfiche WebLink
"IPPHOIIN ELECTRICALPERMIT APPLICATION <br /> CH Y OF EVERY I EI HMI I SERVICES <br /> 3200 CEDAR.STREET, EVI RET VIA 98201 <br /> (R141,25-257-8810 "AX425-257-885T C. ] ? �� a l v/ 23%ts <br /> �� ` � {�}et' It�p�.t�)�;��c rc[t�r�cloy� g°�s�>f���.;����r ,t.=iipc; <br /> s <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 33 t t . 1 �� YM e,E., ,1 « s:: T.7 akA 1 _ y-e2) 7--° .. _: <br /> BUILDING AREA(if residential. ewconstruction remodel,at addition) 400 _SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATI"ACFIED DUPLEX 0 ME,tErd MvIl Y ; OF UNI r; f s OMM PCA't <br /> USE OF BUILDING: tiesID .TTfPL..'TV tii&A t40Nt�" <br /> ELECJ'RICAL APPLICATION INFORMATION <br /> f) <br /> CONTRACT PRICE OF WORK:$ 9-0()V _.__ Tompluacf ecoras1 <br /> NUMBER OF DEVICES(if low voltage): __ w <br /> FIRE ALARM? k YES ONO <br /> ASSOCIATED BUILDING PERMIT#cif applicable : - i-7 0 —pt t. .r?as-- 8 1,49r is cs <br /> DESCRIP'I1ON OF WORK: SET C( 'T e> ' ISO Wim. got? "r)r%cTYCyc`T( <br /> CO NTA.CT INFORMATION <br /> OWNER NAME: 1.405 T M QTS- Sy TENANT NAME Of Commercial): <br /> OWNER G ADDRESS: smEET °CI, 2.ey%el. -St.t. 4 ' S` k <br /> ary MikX LAO SPATE kAlik ZP GI 80 33 <br /> OWNER PIS: '4Q,6 2217 ° S4OWNER EMAIL: $ JO I T G-iw ani 1 o C(�r`� <br /> CONTRACTOR NAME: C,I l 4$S AL - <br /> CONTRA CTOR ADDRESS: STREM _ <br /> CITY STATE 722, <br /> CONTRACTOR PHONE CONTRACTOR EMAIL: <br /> CONTRACTOR UC. i REI:9: CITY OF EVERETT BUSINESS LIC.#{REQUIRED): <br /> PROIARY CONTACT: 0 OWNER 0 CONTRACTOR OTHER(Please Specify) 6c Te curi5rul S 67? <br /> CONTACT mime CONTACT PHONE: <br /> �J $ t-� t lj i .L ) CONTACT EMAIL: <br /> TMeaty WI*the I have read and antatninadticCi and taxer that tomo be and and correct AN s Jews and ordiecerces goverrarg fhts <br /> Vow Oise*wits f not The pram ata permd dans no!pattatnnt to glino audeority to vintaba,dicanc cancel the awry other state or <br /> ieesfilewroculeetiyamesatbri setts t Matt t am auf ortedd bythe cowered this to pattern diem&ibr wrath amiricetion le mada and I <br /> alleitrwet Int AWe Ostswoois taw 1127IICWand 2.0411Gd WAC. <br /> Ctty of Everett Driciat Use Only <br /> FEE <br /> bpPERMIT# <br /> -246—I E "2,. • 6 <br /> ( aviand 10 42 I5) <br />