2820 17TH ST 2022-03-03 - Laserfiche WebLink

• • ELECT ICAL PERIVIIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 J FAX 425-257-8857 ((E)everetteps©everettwa.gov J www.everettwa.gav/permits PROJECT SITE UHF 1 RIIRATION PROJECT ADDRESS: Li h L :. BUILDING AREA(If residential,new construction,remodel,or addition) SF BUILDING TYPE: El SFR-DETACHED El SFR-ATTACHED 0 DUPLEX El MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: EIL.IC T RICAL APPLICATION I FO r,tt11AT4I M CONTRACT PRICE OF WORK:$ i`,) rx ' NUMBER OF DEVICES(if low voltage): FIRE ALARM? CJ YES 0 NO ASSOCIATED BUILDING PERMIT#(If applicable): • DESCRIPTION OF WORK: �� ;..r i ✓c.{ i i:1 t. +t IL; i Li��.'1 k_k ��1 l l k T ( 6,.4,/) y Si Z& ll' CONTACT lift"ORMATIO OWNER NAME: :/t,'t C C �- ; ; �' �1. i t (..;; i1 TENANT NAME(if Commercial): OWNER MAILING ADDRESS: slum- t!: j f µ E t, £. L. STATE \..t`../4 Z(P r Y,r } anv 4•;�f�'�';'� � ��% � OWNER PHONE: (41—c_,) `r5 L Etta• OWNER EMAIL: _.-'..,.:.SS aeri le•3 n f {a r eel . �.... CONTRACTOR NAME: e ( j r r; t � c I' A ellCONTRACTOR ADDRESS: STREET Si 20 Pet-CC, • city a t'(e STATE U ZIP CONTRACTOR PHONE(S/Z, ') ,5/`3' I UM"' EMAIL: CONTRACTOR LIC.#(REQUIRED):kii/ ,s epA CITY OF EVERETT BUSINESS LAC.#(REQUIRED: PRIMARY CONTACT: O OWNER gCONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: lfm,,, 25^z CONTACT EMAIL: /, r L ��c JS/i,7 44..ti%4,C70/1 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 typo 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 othor state or local Jaw regulating constructkon or the performance of construction. That I am authorized by iho owner of this property to perform the work for which application is mado and I comply with the Slate Contractors Law 18,27 RCW and 290,200 WAC. City of Everett Official Use Only PERMIT# /(1:1 _,. / /. -- /`, EI0ll \_OZ_ _ OwneriAufhorized Agank'Sfgnature Date (Revised 9l23/20l6 • •