8002 W GLEN DR 2016-08-22 - Laserfiche WebLink

OPPLICATION WLECTRICAL PERMIT A CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 FAX 425-257-8857 (E) everefteps@everettvva.gov www.everettwa.gov1permits -El PROJECT ADDRESS: 1K BUILDING AREA(if residential, new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0SFR-ATTACHED El DUPLEX [I MULTI-FAMILY- OF UNITS.-- [I COMMERCIAL IUSE OF BUILDING: M.Y. EL opiri CONTRACT PRICE OF WORK: NUMBER OF DEVICES (if low voltage); FIRE ALARM? El YES El NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTIOTOF WORK: 0 K y- 4,.,2 L4 t6 10 7 TENANT NAME(if Commercial): FOW NER OWNER MAILING ADDRESS: 'STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET 73 63 a 15 �26 - AIA STATE 71P �FS CITY CONTRACTOR PHONE:n206, - 2 36 L/'0_'9/7 CONTRACTOF EMAIL: CITY OF EVERETT BUSINESS LIC.#(REQ ]RED): CONTRACTOR LIC.#(REQU1RED):5.F PRIMARY CONTACT: 0 OWNER El CONTRACTOR El OTHER(Please Specify) - CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: AGREEMENT.Thereby certify that/have read and examined this application and know the same to be free 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 notpresume to give authority to violate or cancel the provisions of any other state or local fawiegulating 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 18.27RCWand296.200 WAC. City of Everett official Use Only FEE 00100 PERMIT# E ) 40v ' rued d Ag,n t S4 (Revised 1011212015) Owner/Au ji rizedentSign re Dat