6527 GATEWAY TER 2021-12-10 - Laserfiche WebLink

• ELECTRICAL PERMIT APPLICATION I�►�" _ CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 ] FAX 425-257-8857 ] (E)everetteps ct✓Deverettwa.gov I wvww.everettwa.gov/permits .T- - - - 'c'�c-•r - - uWv - - :.l _.��.;�Z• 4:r.;1�:;I,'.�1:':* .'t'�ti'4'�V: _,F1+5..� -t �rJr....J•Y�.f....:..n.3,.•.... l.. .. i > ,,> -.._.4,.... b' �w.-..' �..,rl�u �. Q ...uI :,J,_ '�1':•.r, c:io.,, �":lr��✓�" R,..•._.:�: _-.... -.. .'1,:.. ..._.h.f:��.i��: -.:}.xn•:ii`' _':.1V''vw..._.�4y�.'.•,.. PROJECT ADDRESS: ‘='5-2,1 BUILDING AREA(if residential,new consffueffon,remodel, or addition) SF BUILDING TYPE:>4 SFR-DETACHED LI SFR ATTACHED II DUPLEX L7 MULTI FAMILY-#OF UNITS: L7 COMMERCIAL USE OF RUE[ 'M � ,.�°S• � ....i:__,,,.>.,.�..q�rxnr«�nwrnr�.y�,.•a.» ..,:r..x.�a:,, •, 'a��-'.,r H�.:f L'ro._�...i....,;. ..xl ..�r? - �� a...7.uw> =Ni L x .. r lax• l:•. .,�,...:.J.•..R .k� ]:.: CONTRACT PRICE OF WORK;$ Gyj NUMBER OF DEVICES (If low voltage): FIRE ALARM? ❑YES 'NO ASSOCIATD BUILDING PERMIT#(If appllcabfe): _ _- DESCRIPTION OF WORK: , OWNER NAME: 4m_t �}�n. � TENANT NAME(If Commercial): OWNER MAILING ADDRESS: - sty' 5-1.7 � J - CtrY lfeC -- srAT2; Wf-1 zw 2402 ' � I OWNER PHONE:.4 42-5— 2-1=-7 OWNER EMAIL: CONTRACTOR NAME: ' ' 'P 'L,. Lx7t�JGr CONTRACTOR ADDRESS: sir—4=7.0-84t, 1005 onY STATE I_A-1"' ZIP l``g 4 CONTRACTOR PHONE: A i L 0 CONTRACTOR EMAIL:pAF—V 3- 0�bP� �2a 4, 1-1 - CONTRACTOR UC. SQUIRED): CITY OF EVERETT BUSINESS LIT.#(REQUIRED): PRIMARY CONTACT: El OWNER CONTRACTOR LI OTHER(Please Specify) - CONTACT NAME: CONTACT PHONE: tr.C' 42,1-', CONTACT ErIL&fL: N AGREEMENT T 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 wf l he completed whether specified herein or not The granting of a permit does not presume to give authority to violate or cancel The ppDyisions of any other state or lanai law regulefing consfwiton or the performance of construction_ That I am authorized by the owner of thin properly to perform the work for which application is made a d I comedy with the State contractors Law 111.27 RCW and 290200 WAC. City of Everett Official Use Only FEE PERMIT# 411e / /9 E 0 orized Agent SI nature Date (Revised 10/1212015)