2213 8TH ST 2022-04-06 - Laserfiche WebLink

• ELECTRICAL PERI QT( APPLICATION CITY OF EVERETT PERMIT SERVICES gwei 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 FAX 425-257-8857 I (E) everetteps@everettwa.gov I vwvw.everettwa.gov/permits PIROJECT SITE IMF tR1lil��.TOoOM 2� 13 5r PROJECT ADDRESS: �,r� BUILDING AREA(if residential,new construction,remodel, or addition) /L1 0 SF BUILDING TYPE: gSFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: F--N ELECTRICAL APPUCATIOi I aNF* ^MATI OI49 CONTRACT PRICE OF WORK:$ NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: tJ t 12t u 0 5 V) Z &i i .1 i (ei') _ e CONTACT INFORMATION OWNER NAME: C�i((',(C( rf.,-;,61 0,1 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET ?l 13 r cnY ( STATE 0/41, ZIP qg' ZO j OWNER PHONE: (- — 38 7-6 qv- OWNER EMAIL: yy . CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR 'OTHER(Please Specify) JeS q/ r CONTACT NAME: CONTACT PHONE: �6 - 9�, --C�76 (,v - (thCHi`(L CONTACT EMAIL: (VOCf,c i yn ) L,Ivv, co AGREEMP'ldT.:T hereby certify that 1 have read and examined this application and know the same to tfe 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 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. City of Everett Official Use Only FEE PERMIT# E iv5-0q) ner/Author nt Signature Date (Revised 10/12/2015)