1901 16TH ST 2016-06-01 - Laserfiche WebLink

01E-n- ELECTRICAL 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 ,.. , ,� PR0:4E-O TE NFO RIAI`ION ii: .4..m ..,�..•n+e. a::. .fir. �.w.. PROJECT ADDRESS: `'(C: 1 V---k S-I-i b Vm.C4- 1J BUILDING AREA(if residential, new construction, remodel, or addition) ( -S l Qh4 let_ SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: CONTRACT PRICE OF WORK: $ if1 5 @,c(S NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑ YES Q,NO ASSOCIATED BUILDING PERMIT# (if applicable):/ IJ/pt Q 6* 1_ DESCRIPTION OF WORK: H v,C� I (, ,n e,, /Reid)a ' 1� qL+s / -Q feceQ zt (eS; I ' c i r c iA 4s J v `' .:', ,„ .. .t . :,, CONTA:CT INFORMATION ^ , OWNER NAME: Karl MG 1AA3%,1i' 1 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET `,q O L 6 54- CITY E LP 1 STATE zip 642b i, OWNER PHONE: -360- 72-2. 147 ) OWNER EMAIL: CONTRACTOR NAME: IN ` 1-to se_ Eiec+r is, It CONTRACTOR ADDRESS: STREET 10 4)—S '�f P i SC, cnY Lakes S &{ILS L STATE A' ZIP ct l CONTRACTOR PHONE: 415---2.-1- SC 1,7 CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): inh0 ups 615/Q6 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):044 1.6p PRIMARY CONTACT: 0 OWNER CONTRACTOR ❑ OTHER(Please Specify CONTACT NAME:1/evj j _/Y>7R CONTACT PHONE: 115—93q_ S 6 17 CONTACT EMAIL: 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 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. 1 City of Everett Official Use Only FEE *�� 0✓ r PERMIT# V-r \--tf-LLJ 12 q A 3 E 1512- O7 Owner/Authorized Agent Signature / Date (Revised 10/12/2015)