7514 EVERGREEN WAY 2021-09-22 - Laserfiche WebLink

• 46-77- ELECTRICAL PERMIT APPLICATION 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 SITE INFORMATION PROJECT ADDRESS: 757Y 02.-E'4i\ Lje"- BUILDING AREA(if residential, new construction, remodel, or addition) t SF �� BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: L�COMMERCIAL USE OF BUILDING: 64,4)M(iy t) / ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ /UDC) 00 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES10 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: OI Niotcv►cl CI-CV-411 AlJ t) f 5L'itid`Yr. /41441 VII(Ck/iotS 40V0f1N` P ien0V€ cal kS <co(' 11/ 4 A cL -r'e.P/41ce_. CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): GJLG'L dy OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: / 2 ( O"1 e . I -C�! CONTRACTOR ADDRESS: STREET '/ O yy .'01c n. 1'r CITY STATE LOA- ZIP 965 t� CONTRACTOR PHONE:..- G.c.��J.// CONTRACTOR EMAIL: Mc.604 e(QL 75 646 irKad• C t7l'N CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED) PRIMARY CONTACT: 0 OWNER 'CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: f'NGtSCIA �J AIL CONTACT' PHONE: 7e 1 / >kk keir `�7/ CONTACT EMAIL: /j/UiSU �1��L'G�5� �"Pi o I • C Cj GJ1 AGREEMENT:I 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 I am 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 PERMIT# EtS -6110 Owner/Authorized Agent Signature Date (Revised 9/23/2016)