7920 EVERGREEN WAY 2018-10-24 - Laserfiche WebLink

� � • ELECTRICAL PERMIT AP�ICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECTADDRESS: �(� �� -� ��.-�,� �� ,�q' � 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: � ��-�;,�iC ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ QJ � � NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑ YES NO ASSOCIATED BUILDING PERMIT # (if applicable): DESCRIPTION OF WORK: � v� �-� 1 �e�„i ��%� I2a G I fC� �� a� CD �c+ �' � l �--�c l�F CONTACT INFORMATION OWNER NAME: ��m�.a-. 5 TENANT NAME (If Commercial): OWNER MAILING ADDRESS: sTReer ( ZO �-✓ 4Lt��'1 1 Io CITY �Ve(`C/ STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: 0 if� e�- ��c��r;�C � CONTRACTOR ADDRESS: sTReer ' l � e� i �" r G� CITY STATE ' � ZIP � � CONTRACTOR PHONE: C NTRACTOR EMAIL: CONTRACTOR LIC. #(RE IRED): 9'�^ �✓1"TG' i J , CITY OF EVERETT BUSINESS LIC. #(REQ IRED): ' Lj �S, C/ PRIMARY CONTACT: OWNER ❑ CTOR ❑ OTHER (Please Specify) �"' CONTACT NAME: CONTACT PHONE: � CONTACT EMAIL: AGREEMENT. T hereby certify that I have read and examined this application and know the same to be true and correct. AIl provisions of /aws and ordinances governing this iype of work will be completed whether specified herein or not. The grantrng of a permit does not presume to give authoriiy fo violate or cancel the provisions of any ofher state or local law regulating construction or the performance of construction. That ! am aufhorized by the owner of this property to pertorm the work for which application is made and I comp/y with the Staie Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE �� v� PERMIT # r El�co�� (Revised 10/12/2015)