3313 OAKES AVE A B 2020-07-14 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION v1,02 CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET EVERETT, WA 98201 (P)425-257-8810 FAX 425-257-8857 I (E)everetteps©everettwagov I www everettwagov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: '2. -.)..)\ ") c-\\A y--\4, s BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED WDUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING:?..1 ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ CAL)C) NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 10 I k ILLtJ (Ut Q1 e CONTACT INFORMATION OWNER NAME: 1,(.\ mite t-iirk : TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET ^:2") ()k-"‘ NCI 4'T:A. D4-, IV- ci STATE 21P CI if 7.2-1) OWNER PHONE: OWNER EMAIL: 0)-2,-- Vkysk. v-(1 CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET\\4 () C\}1 Afk- crry c4.<- \C\ sTATE VOCA 7,H CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(RE.-QuIRED)k,Q 0)-D ‘A -1 CITY OF EVERETT BUSINESS LIC.O(REQUIRED):, PRIMARY CONTACT: 0 OWNER ip CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: - <61 LI-CI\ -f\CW\C\ CONTACT EMAIL:a cy\CLyTho Pt) ta(1. ,--T aorAA,,,..t.)v1-, AGREEMENT:!hereby certify that I have read and examined this application and krkm the same to be true and correct. All provisions of laws and ordinances governing this type at 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 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Oftwial Use Only PERMIT# EIC \- 4,,,.;:kAAithcitized Agent tnat Date (Revised 9/23/2016)