2304 112TH PL SE 2020-05-21 - Laserfiche WebLink

j ELECTRICAL PERMIT Ail6itLIICATIION , ;,:/ ✓ -rr CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 ( FAX 425-257-8857 1 (E) everetteps@everettwa.govI www.everettwa.gov/permits a. .... . . .... .........:.. .. ... . . -:1.FROJECT ADDRESS: //P /K /7 C-5t BUILDING AREA(if residential,new construction,remodel,or addition) SF / BUILDING TYPE: 0 SFR-DETACHED 0 SFR ATTACHED 0 DUPLEX ,Il 4/MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL FUSE OF BUILDING: L," ,< - • - 1( :.- .` .1 tE0tit 'OAC APiri OCCA` II lfi� U.41Fi r,, AIrigr . "4tONTRACT PRICE OF WORK:$ 2.=..-6f/ /006.6-9' NUMBER OF DEVICES(if low voltage):, g FIRE ALARM? 0 YES xJ NO 001 ASSOCIATED BUILDING PERMIT#(if applicable): t- C/?97-/?g7-627zez DESCRIPTION OF WORK: vt/L;V 6,4 Se/.eP/rO!/I G%;//?/i// /4, /eed?l -/4:/th fY G- ./ : CONTACT INFO,'''lifIATION 1 OWNER NAME: „(/: /z,,(�( ; f// l� /YI.Q/1/gAJ 7.'10/TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srRES' CITY STATE ZIP OWNER PHONE: OWNER EMAIL: ?CONTRACTOR NAME: //J1C//) •7_f fer7///.r c5,701///e.P S CONTRACTOR ADDRESS: sumo' si7/q✓1�,J t { /3.l r*4,z -i' ,5z--- fes_ Cfy p �[ p(.� STATE ZIP giy;y,/i9 CONTRACTOR PHONE: �eXp- 77p - 4'9'I/ CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): pi // T.3 S1(6' ✓ CITY OF EVERETT BUSINESS LIC.#(REQUIRED): iiiit.: PRIMARY CONTACT: 0 OWNER 4 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: -2/ - 778 - 4,1,-77, STf�A L /6517- ixfi) CONTACT EMAIL: 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 l am authorized by the owner of this property to perform the work for which application is made and! comply with the State Contractors Law 18.27 RCIN and 296.200 WAG. City of Everett Official Use Only FEE C PERMIT# j7/7/,/(; /1tD�/� 99 /U77V f2.7,/-` i �//if E \(60,� - 1210 Owner/A tIiorized Agent Signature Date (Revised 10/12/2015)