3313 OAKES AVE C 2020-07-14 - Laserfiche WebLink

PROJECT SITE INFORMATION PROJECT ADDRESS: ---3?,-.,)3 -Lc, ,v• s Pme _ BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ "5 0() .. on -- --\(...vy-A- V il 14 .V NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): , DESCRIPTION OF WORK: \ V\CzN-\-CA X L_ )COVYA) \ ' $W ij 1 6116 7 (56,L, 0 vi i1- 4' i ,-13 Z(kAi* 6 iln2-ni ...) _ coNTAcT INFORMATION OWNER NAME: (Lc_---L, 0....t)Y NAME NAME(If Commercial): OWNER MA1UNG ADDRESS: STREET 3tAt-31--\ \1,L N- A . ("4 S bb\i_a 1-AS 7 t)k\ k(N-YietWN STATE\J MP 1 OWNER PHONE: 31...Q.,0-k_945,./1,\—0?)"5-1 OWNER EMAIL:C)2,0 jy\kra..A.A..r ) vAre. 4 0 (JYY\ CONTRACTOR NAME: -\i)\(t t\R_A‘,ki\ror.,.." CONTRACTOR ADDRESS: STREET \\Uri IA \ .....1 6-."V. NP--- ''''*.'"-G C" PI \r\ -\-e)(\ STATE \j‘.30k._, ZIP . CONTRACTOR PHONE: a--- -- '2;1 VI (la-0 C CONTRACTOR EMAIL:WAY call() I Pa) .. ,q,iglic.o_gy,411.,iicr‘r\ CONTRACTOR LIC.CREOUIRED):‘..633-) t.\-1\ Cil, CITY OF EVERETT BUSINESS UC.#(REQuiRED)f1--r-K-i( PRIMARY CONTACT: DOWNER 5tGANTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (.;\ .,...S-- ?fill\•-• .,- itt A. i ili i i i' Ars CONTACT EMAIL: i V 1 , , ,t)(13 •I ti,CA'Y I A A L 1 co AGREEMENT:!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 thI •- (?) 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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. il I , 0 , W--.7 ( 91.- )----1 City of Everett Official Use Only PERMIT# (,_ n .1'\ r Cxc i--- - 1 E110 ) - 24) , . N. Own r/Authorized Agent Signature Date (Revised 9/23/2016)