820 CADY RD 2016-08-17 - Laserfiche WebLink

qLECTRI • CAL PER�/iIT APPLICATII0N CITY OF EVERETT PERMIT SERVICES OL 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: ( �� .�:. ;b ; BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: El SFR ❑SFR-ATTACHED ❑ DUPLEX ,MULTI-FAMILY-#OF UNITS ❑COMMERCIAL USE OF BUILDING: � Xu'r .J ELECTRICAL APPLICATION INFORMATION •, CONTRACT PRICE OF WORK: $ 7 C� NUMBER OF DEVICES(if low voltage): FIRE ALARM? `A YES ❑ NO ASSOCIATED BUILDING PERMIT#(if applicable): ;� IG• DESCRIPTION OF WORK: \ACW Car nCi CONTACT INFORMATION -- OWNER NAME: ti, �� - � TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET u CITY (��L.�' �L(� STATE W V1211;_ ZIP 'LLQ OWNER PHONE:4 � • Z� j . l OWNER EMAIL: CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET` n U Lc, :1' U aj- C _ STATE ZIP CONTRACTOR PHONE: .Z� �,. l Cj` CONTRACTOR EMAIL: C,� , CONTRACTOR LIC.#(REQUIRED): `_}��yy �1�/ - fit '.% CITY OF EVERETT BUSINESS LIC.#(RECUIRED)::) L-�CO�r; PRIMARY CONTACT: ❑OWNER t3CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: LGA • ---! is.q`� 5� CONTACT EMAIL: , to pial • cotn AGREEMENT. T hereby certify that t have read and examined this application and know the same to be true and correct All provisions of laws and crdinances 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 RC and 296.200 WAC. City of Everetl official use Only FEE d PERMIT# OwnerfAutho ' ed Agent Signature Date (Revised 10/12/2015)