4712 BAYVIEW LN 2016-07-28 - Laserfiche WebLink

FEB/16/2016/TUE 09: 30 AM Grii mod Heat ing FAX No. 206 6216 P. 001/001 IIIIIII LECTRICAL PERMIT • -11- LICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-2578810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov J www.everettwa,gov/permits - r:' PROJECT ADDRESS: 41 I a ,� v i et Le oc e ev2uti 4A-, t (1912-.0 BUILDING AREA(if residential, new construction,remodel,or addltlon) 2_0 SF BUILDING TYPE: 0 SFR-DETACHED C$FR-ATTACHE) ❑ DUPLEX El MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: �� ,�'O�N�•�yNFQi�• ��1, A: IYIAT�Irjllil .. ..__ ....r. .. .i...+„_ . .WAN.. .� { •L•:._......_......:.............. ... ........ - CONTRACT PRICE OF WORK:$ \53-00 • NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES ' NO ASSOCIATED BUILDING PERMIT#(if applicable)_ DESCRIPTION OF WORK; Re.Cs.>nf2.LA- rca,,-.Y.-e C --1r- o F CX,n ' err c c`e Iv 1(w) OWNER NAME: J C`—CDC.) TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET Lt ['a exon e CITY g(}Q .-4± STATE IN/PC ZIP thc7.01 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: ne, '40jQ W\S\f- Ekec_v'lk"c CONTRACTOR ADDRESS: STREET �, S `J *S4., CITY S - STATE ` nit - �]y CONTRACTOR PHONE: at) a _ •a5. S CONTRACTOR EMAIL: At,A ,, _ - • CONTRACTOR LIC-#(REQUIRED): \tc.,0 Qat I1/4k, CITY OF EVERETT BUSINESS LIC.*(REQUIRED): 014 PRIMARY CONTACT: 0 OWNER '`CONTRACTOR 0 OTHER(Please Specify) 49— CONTACT CONTACT NAME: CONTACT PHONE: &Out —i a5a.s. y C_7P��__ \-LC CONTACT EMAIL: n AGREEMENT,T hereby certify that I have read and examined this application end 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 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 298.200 WAC. City of Everett Official Use Only FEE 00 / PERMIT Owner/Authorized Agent Signature Oa(e (Revised 10/12/2016)