10901 27TH AVE SE 2020-06-18 - Laserfiche WebLink

(Orerr ELECTRICAL PERMIT AF i LICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT/ SITE INFORMATION n�. PROJECT ADDRESS: ,1 P/ �7 ,4✓` 5 E /z/p�t)s 2 4/ fL,//4,t�J /ci7 itzg,L BUILDING AREA(if residential, new construction, remodel, or addition) SF /3iJ f/e /daj/J/f ,J,?51 BUILDING TYPE: Pi-SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: fie/r1L,J7;a,, �J4 ) r')A �p --- r ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ /yam NUMBER OF DEVICES (if low voltage): 7 FIRE ALARM? t]YES ❑ NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Ails .et✓/ccs �v AJes.> /pR1rp/ e cJ ii2a$4-t ��>> CONTACT INFORMATION OWNER NAME: �I/ege ScIYvnJ Qlf/1/�}�'/ TENANT NAME(If Commercial):,i)i,ofej OWNER MAILING ADDRESS: STREET 77Op L. /.�Jr. 4 vL CITY ✓e,e77- STATE f4)/1/ ZIP 93,x.3 OWNER PHONE: y,,25--3gs. OWNER EMAIL: CONTRACTOR NAME: (p,)t/ ice/j j�4yiNyl.��lts �L CONTRACTOR ADDRESS: STREET 6Y' j,./A 7z<4- /0✓e— /.s4) crY /2(41/1- ..0 STATE 14)14 ZIP 7eP CONTRACTOR PHONE: Ye,/.5"•.y- 5.27 7 CONTRACTOR EMAIL: AlLAJ.v,. ,i.771) it �p/(�vu f•/w)T,L' CONTRACTOR LIC.#(REQUIRED):/iJe/�G%G 99,..cf 4 2 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 255_ 73a ��CNAI S/ f,T/a CONTACT EMAIL: 6k,i s• X11 �G.�.t1 i/eA93Al5 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 WAC. City of Everett Official Use Only FEE PERMIT# to I - QC2 2.. Owner/Authori ed Agent Signature Date (Revised 10/12/2015) Z