9107 EVERGREEN WAY 2022-06-28 - Laserfiche WebLink

• • ELECTRICAL PERMIT 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( www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 9 O 1 EV E‘29toGr\ Wa BUILDING AREA(if residential,new construction,remodel,or addition) %OW-0) SF BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATIACHED ❑DUPLEX D MULTI-FAMILY-II OF UNITS: ,COMMERCIAL USE OF BUILDING: 1 QIX O 1 Ct spci Cc • • ELECTRICALAPPLICATION INFORMATION ; CONTRACT PRICE OF WORK:$ 2j l 523 . NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES *(,NO ASSOCIATED BUILDING PERMIT#(if applicable): MI- 03- 0 G-2- DESCRIPTION OF WORK: ii<A1A+T 14 L. and 'C1/4/10LC ce Yyleyrc of lit 11,i-i h t a-r-cAte. rtA 01're-t `f U yy aAel • peArrri i er = M21 a3- cc'Z CONTACT INFORMATION OWNER NAME: i14 d t TENANT NAME(If Commercial): GNI Tvl!( OWNER MAILING ADDRESS: STREET p.0. 1 ()$ 3(74 0 +, CC Y �v STATE • 7JP g?/1 OWNER PHONE: 1�- 1^1 J' ZZ OWNE Y "R EMAIL: CONTRACTOR NAME: eV �yi� l 1'LDC[ n n d ?EC CONTRACTOR ADDRESS: STREET 2l� Pat CA fl(.. Ave . CnY t v /Y C -k STATE W� ZIP 1g(/V CONTRACTOR PHONE: 4ZS' 2c2-�Vl\t (CONTRACTOR EMAIL:I/A 1/ - 5) cssyytwpk, us CONTRACTOR LIC.#(REQUIRED):EVE l?C S9R 2 E1--1 v CITY OF E ERETT BUSINESS LIC.#(REQUIRED): ( Ole Kl PRIMARY CONTACT: 0 OWNER 'ONTRACTOR EI OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 4"2 S '2S 2 vty vv l2 6 CONTACT EMAIL: Ivb\1 eGI�yWV 1. C,6111 { AGREEMENT:T hereby certify that l have read and examined this application and know the same to be tiu 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 Ore 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 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE PERMIT# I0112I E Zto3" 111 Owner/Authorized Agent Signature Date (Revised 10/12/2015)