1801 BAKER AVE 2016-08-26 - Laserfiche WebLink

4r6-77 CTRICAL PERMIT AP .ICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 b y (P)425-257-8810 FAX 425-257-8857 I (E)everetteps@everettwa.gov www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 80 ` V5c3Caeir AVE c,ti eirE BUILDING AREA(if residential,new construction,remodel,or addition)_rpwoo SF BUILDING TYPE:, SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: 'f R ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 1303 00/ NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: &rdr( Smnkfi, dtire:Inf S VIi t o u FSide, 1'1'9 h�'5 - act J, cr 1 m I't3b - _ CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: C--,ax-v.i Er1r CONTRACTOR ADDRESS: STREET 1(%sc slr\ vc. ?0 o' 19 3Q CITY 'Oil 0.r eziv iSTATE t•t ZIP 9010 CONTRACTOR PHONE: 3( O (o j 3 9Li 35 (CONTRACTOR EMAIL: (LYrtanda,e ry i 1€n4'. COM CONTRACTOR LIC.#(REQUIRED): C-a At.t/j E Z 4 9 S CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 03910 Z PRIMARY CONTACT: 0 OWNER OCONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 3G0 (055 3 9 c..3 5 Vl''oxdck, 14AAvora;n CONTACT EMAIL: Q,yna,nCiaY Q 90.-rvi nen+•corn 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 lam authorized by the owner of this property to perform the work for which application is made and t comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE it? \ 0 PERMIT# arYLeizinttre)-cC/0b E (0 -6n1 Owner/Authorized Agent Signature Date (Revised 10/12/2015)