2307 LOWELL RD 2016-08-08 - Laserfiche WebLink

RECTRICAL PERMIT APACATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION �p PROJECT ADDRESS: -Z'S0 i_C III:L(_ � i�� G o I✓V -rr vA.1A Q '2-0'5 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: ,�� ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ /�_ O NUMBER OF DEVICES if low voltage): FIRE ALARM? ❑YES IR NO ASSOCIATED BUILDING PERMIT# if applicable): A DESCRIPTION OF WORK: �' t 'V 1 CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET � 2408 1dio_14 .f:"L-- 0C_ cry I ee K i_. 'C> STATE WA OWNER PHONE: 42.S -,72-0-71 1 OWNER EMAIL: aY1 iv�GisStX.i P.S '1 �tt/'I � CONTRACTOR NAME: j + C- CONTRACTOR ADDRESS: STREET ird S L j[; CITY AJA STATE ZIP CONTRACTOR PHONE: 25 -Z Z` I✓3 CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED):F 1,L CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ;3 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: I„a e.wri N le.Ally 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 authonty 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 Oficial Use Only FEE i 00 PERMIT# 00 OwnerlAu orized Agent Signature Date (Revised 10/12/2015)