7402 BEVERLY BLVD 2016-07-29 - Laserfiche WebLink

tit ECTRICAL PERMIT AILICATION 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 �.n 3 � PROJEC1�SIT INFR, T O �._.�.. r NN r. K; .. :4, .,., ,.,r-Am'. ��,r..,,,:*mrmsuaak.srA'.�h:uA 'EM,s:,.. u._ .E. ,Zz ..: , nzA PROJECT ADDRESS: ``?''(h z (3e,i/t ! i3)Vc t g 2 03 BUILDING AREA(if residential, new construction, remodel, or addition) 760 SF BUILDING TYPE: SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: i >tl71iC.- • .'"�V ' ""'s''„q ",yc:,,�.;, .,, ,..�„wy .,gn°,w# ew..,. 'a' rma,u; ul"' .y# , '. r' �w .�f '. ° :,,• ,< Y5 � ELECTRI � PP ,IGATIONIN�DRIAT101, ;�< ; r6�..,, k 0.1 CONTRACT PRICE OF WORK: $ g 06,0 I NUMBER OF DEVICES (if low voltage): /I/A FIRE ALARM? ❑YES , NO S"jaA 0e""i'ec iso-r S ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Ke t'Ir.e )28,,S 2 47e Zoo ....pie_ OWNER NAME: RAO a.. �T% -r�� TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET /1/z`7 9774.�}1/e. /Va. / CITY/I //G-rySCJ�LLe.. STATE WGA ZIP OWNER PHONE: Ste "(p-§ 9" 78�P OWNER EMAIL: CONTRACTOR NAME: tO r y eS Ch CONTRACTOR ADDRESS: STREET PO l)3m X. .Z Y3CIT / ! Y 4.4) 1a STATE "!/� ZIP 7e..›--97 CONTRACTOR PHONE: 92-S 2?3-.S3 2i CONTRACTOR EMAIL: j-e re.s ‘se__ �ad • �°^+ CONTRACTOR LIC.#(REQUIRED): p 111`'et C 5q ON CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: 0 OWNER XCONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: G/Zf2 73—S,3 CONTACT EMAIL: 'res3'.F I2ch�` 6,S /�c--4mc, ��`• 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 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# 4/70Af- E 112- 00g3 Owner/Authorized Agent Signature Date (Revised 10/12/2015)