2321 GRAND AVE 2016-08-22 - Laserfiche WebLink

07;%11/2016 20 : 48 #0611 P. 001/001 ILECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98209 (P) 425-257-8810 FAX 425-257-8887 1 (E) everetteps@everettwa.gov www.everettwa.gov/permits RRRQJE r PROJECT ADDRESS: BUILDING AREA(if residential, new construction, remodel, or addition)__ SF BUILDING TYPE: Q SFR-DETACHED 17 SFR-ATTACHFD ❑ DUPLEX 17 MULTI-FAMIf Y-#OF UNITS: ❑ COMMERCIAL USE OF RUII-DING: �' ..,;.-•,•:gip)-'� , �..> �, - ^ - a. a• ,it s; �:•, �!;A: A"!5 �� ,.:�• '•ti. ��. srT:,,p�.T�pIreTrRmsJN,,,��1��;;^T,,� /► u �1`'�Ff��Qt!!„„ i:,,, ' ,„_ 4::• CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES if low volts e : FIRE ALARM? 0 YES Q NO ASSOCIATED BUILDING PERMIT#(if a licable)� DESCRIPTION OF WORK: jeL 1 S,IMT �� rR� 4�,Q�IIVIAi��pM OWNER NAME: TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET I D 0 CITY I�,(�((. w STATE ZIP Q ` OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: 1' ICE CONTRACTOR ADDRESS: ST,ReeT 110o C1rY sraTE kv zIP CONTRACTOR PHONE: y) ,) / CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): 2 �S CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑ OWNER CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 2S 2? CONTACT EMAIL: AGREEMENT T hereby certify that 1 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 De completed whether specified herein or not. The granting of a permit does not presume to give author ty to violate or caeca!the provisions of any other state or local law regulating construction or the performance of construction. That/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 PCW and 2,96 200 WAC. City of Everett Official Use Only FEE @ PERMIT# f % E I L� I' b ner/Authorized Agent Signature Dat (Revised 10112/2015)