731 93RD ST SW 2020-06-19 - Laserfiche WebLink

PLECTRICAL PERMIT AOLICATION ,NmaCITY 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 SI'Z'E INF®RMAT0114' PROJECT ADDRESS: 2 51 _ t 3 P /,) S � C-o"J vial-- 9 g?®Zj BUILDING AREA(if residential, new construction,! remodel,or addition) 17-cry , SF BUILDING TYPE: 0 SFR-DETACHEDFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELECTRICAL.APPLICATION INFORMATION • • CONTRACT PRICE OF WORK:$ etp.i.i NUMBER OF DEVICES(if low voltage):, FIRE ALARM? S 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: j © CP(,(Jr. j r— Q AJ-e_ F `( ' i—P _ • CONTACT IyNFORMATION OWNER NAME: br ( ‘),L, TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET Z / , 47 f_, ) c. c' CITY / STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET 01/ft02-- 4 7 C ;co 460 CIN STATE ZIP CONTRACTOR PHONE: , CONTRACTOR EMAIL: ' CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: 0 OWNER ~u0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: /CONTACT PHONE: 2_10 Va p,,,,,,,C� -3//r6(1° 7-i CONTACT EMAIL: ._.„. i iA AGREEMENT:T hereby certify that I have read and examined this application and know the same to be true and . - - - >visions 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 property to perform the work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE ( '// PERMIT# e2;1<,.. -------› ..5 U/1^e 6.. 73 E 1 ")0(0 - (a Owner/Authorized Agent Signature Date (Revised 10/12/2015)