927 51ST ST SW 2016-06-03 - Laserfiche WebLink

425-252-1666 CM HEATING i i ftp:28 a.m. 02-18-2016 2/2 47ETT [ CTRICAL PERMIT AP ICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 02� 5t r BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: 0 SFR-DETACHED ,.SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 2t-->o , co NUMBER OF DEVICESif low voltage):stage): FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT#(If applicable): DESCRIPTION OF WORK: Q-9)1610-0,- TkS a- e- 4 tn5.-i-rA CONTACT INFORMATION OWNER NAME: Vail) t, ndt TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREEr qQR- 51 Sr Sr SW cm PJJ , + STATE V V ZIP ! V 03 OWNER PHONE: 7-1.z5 "-- 3(:), ' J1,3a OWNER EMAIL: CONTRACTOR NAME: C CONTRACTOR ADDRESS: STREET o dw - e -rlf- CrrY STATE WA ZIP aigao CONTRACTOR PHONE: Lias- RS9 05-5-0 CONTRACTOR EMAIL: V'1-U, I ,{ �i (,' f 1 )(fl CONTRACTOR LIC.#(REOUIRED): C yhvold l 3 i, c (1 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 61?) PRIMARY CONTACT: 0 OWNER Fa CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: �' CONTACT PHONE: i 5-61 O 5D 1\nrlxG f JY) w0- I CONTACT EMAIL: C AGREEMENT:T hereby certify that I have mad and examined this application and know the same to bo true and correct. All provisions of laws and 6 inancees 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 I am 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# 'KW /. Owner/Authorized Agent Signature Date (Revised 10/12/2015)