3317 WETMORE AVE C&D 2020-05-28 - Laserfiche WebLink

#)**,'*"--1111"11 kECTRCAL PERMIT ASI LICATION 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 -2___PROJECT SITE IINORMATION- PROJECT ADDRESS: -33 v \ e-TINI.L( .e MI E ( —Zt-r P G.. �4C. i\ (Ki AREA(if residential,new construction,remodel, or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED DUPLEX 0 MULTI-FAMILY-#OF UNITS: <2. 0 COMMERCIAL USE OF BUILDING: 9.? I ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ \ OO NUMBER OF DEVICES(if low voltage):, COmNI 1-1 FIRE ALARM? ❑YES [ 'NO ASSOCIATED BUILDING PERMIT#(if applicable): C. n.0,5- _ (3 l DESCRIPTION OF WORK: U:-. CA:: 2,I/ �� c3 (SPO I • CONTACT INFORMATION. . OWNER NAME: fil OSC Ni* IS lC c y TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET (fl / S �j 1`,1Z V-,LAkii) CITY vo A STATE O ?3 ZIP OWNER PHONE: 2-O 9 6 s'---4 OWNER EMAIL: 8 K OS R Y`Z C,-,N c4& . GA,, CONTRACTOR NAME: (( N UV___ CONTRACTOR ADDRESS: STREET • CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR OTHER(Please Specify) S L 1) _Vo S az_ CONTACTrrNAME: �` CONTACT PHONE: 4 Zs 2.2 CO 32 p 1)k W (i D�l?T CONTACT EMAIL;W D��'Ao'Z NH 0 1,\ 5('G D /SOL, M 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 property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAG City of Everett Official Use Only FEE SD (, PERMIT# -\ \ \ - Owner/Authorized Agent Signature Date (Revised 90/92/2095)