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

LLECCTRIICCAL PERMIT A*LICCATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 i FAX 425-257-8857 1 (E) everetteps@everettwa.govl www.everettwa.gov/permits Oil itjEet Stir lliik 14lATG®N'::.. : :.. ..'. PROJECT ADDRESS: (". .. 5,7_ N 9 s`'- BUILDING AREA(if residential,new construction,remodel,or addition) e 60'3 SF ' BUILDING TYPE: ❑SFR-DETACHED 14 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: — t iV ... .. ELIECTIllCAL APPLIICATIION iNF®RMMATION CONTRACT PRICE OF WORK:$ fO 6�'f NUMBER OF DEVICES(if low voltage):, FIRE ALARM? ❑YES yl NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: "1,12-E-- A Ar f d J1 5 t L.(tt 1-c T5 { Esq— L_t ft(4-15 e54-1—. mss'('L-Q 5 4/kv- viow c. o 1/4,T-X--6:-. \--- ®N. A_ .T.INFORMATION.: : OWNER NAME: 1).n-sr-kJ 4<-j TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 51 D v 1)et--aW tc' CITY E.,/ STATE ZIP ‘)&2-..3 OWNER PHONE: "2-42 Ca. 4"/ I C> 1 OWNER EMAIL: )UlJ�{rgJtitice (i...*449- c-e-tk. CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET • coy STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: ' CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: yKOWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: p . CONTACT PHONE: 514.40.k v f�cns (� K[ CONTACT EMAIL: &A k% AGREEMENT:T hereby certify that l 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 l comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE . k 1 a P PERMIT# q 12:2- )2eA B *'4-1 Owner/Authorized Agent Signature Date (Revised 90/9212095)