2907 HEWITT AVE 2021-11-12 - Laserfiche WebLink

• ELJCTR CAL PE 'MIT APPLICATION yam► . -. 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 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS; 2,50 7 ,,- airrr- Air BUILDING AREA(If residential,new construction,remodel,or addition) SF BUILDING TYPE: El SFR-DETACHED El SFR-ATTACHED LI DUPLEX ©MULTI-FAMILY-#OF UNITS: El COMMERCIAL USE OF BUILDING: • (.ELECTRICAL APPBOCA T LI N INFORMATION TION CONTRACT PRICE OF WORK:$ I t ; t .'._._ — — NUMBER OF DEVICES cif low voltage): FIRE ALARM? El YES 0 NO ASSOCIATED BUILDING PERMIT#(If applicable): DESCRIPTION OF WORK: �tct• , `L x. I L'.%`tfZ.iN.,r, . `, },�(` { Ft CONTACT INFORMATION - • • • • '• -' • • • OWNER NAME: N: ' A TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srresi f t I I CITY L.-t.% Cz STATE ..,OA; , z �.., =t OWNER PHONE: Grr•?L' `a OWNER EMAIL: •/14 CONTRACTOR NAME: j . ,,J(.,41 re 1-}eDeVC CONTRACTOR ADDRESS: STREET Z.I 2© r!-(t t.••b t C- ?4- • CRY a STATE .f zm9'6 CONTRACTOR PHONE 447_61 IT/'3I1� � ( CONTRACTOREMAIL: /'- 12 r . a._ CONTRACTOR LIC.#(REQUIRED): 55frJ 'j CITY OF EVERETT BUSINESS LIC.#SREQUiRED): r7cT PRIMARY CONTACT: ©OWNER IFCCONTRACTOR EI OTHER(Please Specify) r' CONTACT NAME: CONTACT PHONE: lrZ 2 1- �?// I4_./ 1,0 CONTACT EMAIL: +ti.a;)_ 5,5/1,-7 Luc .CYG'71'K AGREEMENT:t hereby certii'thet!have read and examined this application end know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be completed whhetherspecified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other stale 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! comply with the Slate Contractors Law 1$.27 RCW and 296.200 WAC. City of t Verott Official Use Only ff PERMIT# • 1 * / Z t•-f. - 10 \ 02)\ • Owner/Authorized Agent Signature Cate (Revised 9l23/2016)