611 54TH ST SW 2016-06-03 - Laserfiche WebLink

03/01/2016 TUE 12: 08 FAX 4252 21666 Cst Heating 0002/003 TreTT RECTRICAL PERMIT AI I LICATION 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.evorettwa.gov/permits s'{wi?,�-; �,.;,j�„ j r<','',r,';;;;» :'� ;.'z;it !�"%"'': ' "''' pROJ. CT:SITE P .F'b'RMAT�ON- ;:•'•+.' PROJECT ADDRESS: Co1 51-1`I- S� ,SN' BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: [A SFR-DETACHED {SFR-ATTACHED ❑ DUPLEX CIMULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: / ELECTRICAL APPLICATION 1 .,. NFORMATION'. CONTRACT PRICE OF WORK: $ 2_5 0 NUMBER OF DEVICES (If low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT# (if a,.pIplicable): n� �` � DESCRIPTION OF WORK: / P 1 C4 2 C-LW- CJ/ do-e;-1s Y, n ^ P- pL) 0-1 . CONTACT INFORMATION. OWNER NAME: Plan (j' j tQ(7D ") TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CQ j ' ��"�`4 e1 Qr. S ^ CITY l/)`et 1 V STATE V ZIF 1 �-c/�� OWNER PHONE; 2c) 5 ZV 2 OWNER EMAIL: CONTRACTOR NAME: CJ cJ 'V CONTRACTOR ADDRESS; STREET nn �° i do .� A /VjJ CITY 1 'u e, STATE \/`.•�A Zw I 2-O CONTRACTOR PHONE: lij ;_sol ` G-0 -}CONTRACTOR EMAIL; 61-e-�Cf 1 t /Ic U'Yi k 'ti g • {0 CONTRACTOR LIC,##(REQUIRED):C-t l h earn h / -d N CITY OF EVERETT DUSINESS LIC.#(REQUIRED): (Q 0 PRIMARY CONTACT: 0 OWNER `4 CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: h 26R J5-0 CIJ-4 e C('1111 G- CONTACT EMAIL;Mere t411 Gryi'. fu-0-'0Q �rn AGREEMENT:T hereby car*that/have read and examined this application end know the same to he true and correct. All provisions of laws and ordinances governing this type of work will be completed whether speClfied herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other slate(Jr kcal law regulating construction or the performance of construction. Thal/em euthorired by the owner of this property to perform the work for which application is made and I comply with the Slate Contractors Law 1e.27 RCW end 295.200 WAC. City of Everett Official Use Only FEE 4-15, Du PERMIT# it/Iri ir/ t AeLad Icy ,:P3-01, ) Owner/Authorized Agent Signature Dela (Revised 10/12/2015)