2220 112TH PL SE 2020-06-16 - 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 J (E) everetteps©everettwa.gov J www.everettwa.gov/permits 1� ;.. : . r ®�Jl��'��(1�'� INF®ItII�dp4'p`o01W ..:. ..._ • PROJECT ADDRESS: V)d 0 ` 2(-/\. BUILDING AREA(if residential,new construction, remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED ,(SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: : .. ._.:. ieJLEr TRAGAL A(i 0L ATI O 1111 F©IRk A`I ®1 . .: . •_.: ::::.. CONTRACT PRICE OF WORK:$ 7O NUMBER OF DEVICES(if low voltage): FIRE ALARM? D YES D NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: (J Y .. - /k.C.) -h l-fl-ho u P, C.( -T67- • T U 7-- 'OWNER NAME: t U21f 1 oe-1-_e-- Wy.L\oiNt'5 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET (IS o�g 0elk -U-tit. W 6'-A-t e uo.rd / cRr I i T �O1- �- STATE ( .i� ZIP /3 ��6 OWNER PHONE: .. gti C 7OWNER EMAIL: .. .. CONTRACTOR NAME: TAA p�1S e Y ci S C:.e s CO CONTRACTOR ADDRESS: STREET p( ('g ^ 137 tf ryt LI A Ve. S /y CITY /V t k) l-c> '4`1. STATE W A ZIP efg 05 P CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC„#(REQUIRED):�NF.�wI� � ( -�—u SCTTY OF EVERETT BUSINESS LIC.#(REQUIRED)^ "4 \ , PRIMARY CONTACT: D OWNER 0 CONTRACTOR 121'OTHER(Please Specify) r3Q,h V\ Ge c ck.l i t" p".)) CONTACT NAME: TT g jam, CONTACT PHONE: ( ' �s') 7'1-�-- 1 �f- 3 l vv� lr C��1/ '� CONTACT EMAIL: Ock p_i i4 ° e iq P cu I . 4� `ii' AGREEMENT:T hereby certiithat l have read and examined this application and know the same to be true and4ef rect. All provisions of laws d 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 t comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE 200 • PERMIT# 97- r7Y E kSb9- � � i Owner/Aut.> ized Agent Signature Date (Revised10/12/2015)