8522 9TH AVE SE 2016-06-01 - Laserfiche WebLink

/IIP/. --j ILECTRICAL PERMIT APPLICATION __ 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 I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:e5gth SE BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: JSFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: (114 ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 4laao NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#.(if a plicable): DESCRIPTION OF WORK: A in4o.tanoo CONTACT INFORMATION OWNER NAME: Writs ei.A1 l TENANT NAME(If Commercial): OWNER MAILING ADDRESS: % ,)a Cjh i i,t sb-- everekv- STpua Z�P ., oB OWNER PHONE: &R$• 5d OWNER EMAIL:Cia#...-- I/SQ}@ h/e ; coni. CONTRACTOR NAME: M Ucn i f'V CONTRACTOR ADDRESS: 1 I T It P i• NC giVklA nog. ^/ ST � v33 CONTRACTOR PHONE: 14 CONTRACTOR EMAIL:t ( )I .,f I(4 f iV4G. 6004 IC CONTRACTOR LIC.#(REVB13 & CITY OF EVERETT�` BUSINESS LIC.#(REQUIRED):M. 3 PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACTUNAME: CONTACT PHONE t/ j / I f �y� - ��1� I (N CONTACT EMAIL:f nl V ( _I mo�,Cov s'i AGREEMENT.•T hereby certify that I have read and examined this application and know the seine to be tin 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 ocalaw 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 I comply with the Slate Contractors Law 18.27 RCW and 298.200 WAC. City of Everett Official Use Only FEE 41'50t -_..d II PERMIT# ' 6 10 !! -02 U DA0 •I rlAuthortz . t1 ignature Date (Revised 10/12/2015)