1239 52ND ST SE 2020-06-18 - Laserfiche WebLink

mLLCCTRICAL PERMIT AP JUCCATflON If � 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 PROJECT ADDRESS: t Z. 3 5z_`.— S'`",- S, BUILDING AREA(if residential,new construction,remodel, or addition) SF BUILDING TYPE: ❑SFR-DETACHED SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING; _ e7-i^74.-- . MECTIRICAL APPLICATION INFORMATION : . . . .. . CONTRACT PRICE OF WORK:$ "Zd O® b //�� NUMBER OF DEVICES(if low voltage):. Se,rt. � 0 tA.l FIRE ALARM? 0 YESO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: A it 4 I v p,,.._1 1 .:ce r A t✓J n 10.-s<___ le_c L' c ,-,)tir" 206 4,.,r +zJcc-r© - U ?-1—c...A. . ...._ ._.,__ . . . . .,. . . ®N. ...'TAC - - -. . _ . . OWNER NAME: 1).n,,,.L--el.-1 14 © Cc 2_ TENANT NAME(If Commercial): OWNER MAILING ADDRESS: y"-I� sTReEr l "3 1 S 1- s 4 S t------ ^j> EtAttPi` ' err, �A STATE)��}� ZI�' OWNER PHONE: 2_0 C 6 4'1 7055 OWNER EMAIL: 011---c 0,- �I+O �' -C) r - co CONTRACTOR NAME: C O' f -7 {J CONTRACTOR ADDRESS; 1-01-4-y/STREET f I/Z•1 4 - D Z ` V 7 '�U 4- STATE // ZIP �v CONTRACTOR PHONE: 206 4/2-2�,/ 1`r 57 CONTRACTORCEMAIL: 1 Cc'—'e1-7--L'--- / 6) 7 t CC"' CONTRACTOR LIC,#(REQUIRED)^ VCO '" I PL ES 8'5(YN^CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 3 }1 PRIMARY CONTACT:XOWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE; 7 O c 471 q 9 7 0 5T D ) CONTACT EMAIL: p 14.1,1 Gael 110 ke—V 460 . CO'"1 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 lam authorized by the owner of this properly to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. 8p�} City of Everett Official Use Only 3 O 6.Q 1� 3 II 3 1 FEE 013# 1000i --- rt°///5/ PERMIT# 1H WA* G 5 Owner/Authorized Agent Si. lure Date (Revised 10/12/2015) .