2306 112TH PL SE 2020-05-21 - Laserfiche WebLink

• ELECTRICAL PERMIT APPLICATION —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 wvwv.everettwa.gov/permits it 1 PROJECT ADDRESS: asp`"" /9 %N BUILDING AREA(if residential,new construction,remodel, or addition) SF / BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED Al4,TTACHED ❑ DUPLEX MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: .f ,/j EL E TRIIcAL APPLIIg A'll0 N PINF*RIMATO*, `t'CONTRACT PRICE OF WORK:$ 79 7 7Coo. Q� NUMBER OF DEVICES(if low voltage): g FIRE ALARM? ❑YES p NO Deb ASSOCIATED BUILDING PERMIT#(if applicable): IN- C//?g7-62-7.12. DESCRIPTION OF WORK: (70 /1 s' ,/P/�O//l A;//Z/ly fuzz�/ - /rf/L i' . _ . r .: .:C®MlT'AC`>P 9PIF•RMA'i`ION.. _ OWNER NAME: ,,(Xi,� /////p(��f/1/I��1/ 4,7d 7pyjTENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET/ CITY STATE ZIP OWNER PHONE: j40-1-7,/{//77-'" OWNER EMAIL: CONTRACTOR NAME: 40-1-7,/{//,c// Q/p� P CONTRACTOR ADDRESS: smear !�>j�J�(2 F /35 rN�d.P 5z CnY D i/V�f'l,iC , ✓C.i1 STATE 1,)/47 ZIP CONTRACTOR PHONE: ��p- 776 - (g21f CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED)• htf //tif S 946a ,T6 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 119'; , PRIMARY CONTACT: 0 OWNER Jl CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 4.W- 778 - //yr* /6 i CONTACT EMAIL: AGREEMENT:T hereby certify that(have read and examined this application and know the same to be true and correct Al/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 t comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE 00, i - PERMIT# / /1/ /e/37(761 //Tap,' g2/� , / E ( 9)02 - II() I() Owner/A}athorized Agent Signature Date (Revised 10/12/2015)