2527 LOWELL RD 2016-08-24 - Laserfiche WebLink

� �� �ECTRICAL PERMIT A�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 PROJECT ADDRESS: r -(? f--�-" �-=��-^,��iG�— � `>� 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: {� �^%L_— ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ ��`- "�� NUMBER OF DEVICES if low volta e): FIRE ALARM? ❑ YES NO ASSOCIATED BUILDING PERMIT # if applicable): DESCRIPTION OF WORK: � � �fr'Vi'- F !�� %/I��—r'��''� ! �-�/�� i+, �ac.�J (��' �f_�'�� (e/�,�J� CONTACT INFORMATION OWNER NAME: _(��,,. �� I�rf f✓(�y TENANT NAME (If Commercial): OWNER MAILING ADDRESS: srREET v�v� L'1i�'l/� L.�,. �.f, �% ��%�/� F.�J— l � 1 CITY �✓ " '�-�'�L/� [ STATE �� ZIP � �� OWNER PHONE: `' �� - iS��% '� 4�� `� OWNER EMAIL: CONTRACTOR NAME: j L� �J� F;/�,�E.� �iA/��/L-!r� �.�_��l1k�L-�, CONTRACTOR ADDRESS: sTREET /4 %�� '� � i .�y�� l � � CITY � �5�� STATE ��' ZIP �� J'� �1 � CONTRACTOR PHONE: `�LS —`T .�� `" �I ��"`-� CONTRACTOR EMAIL: jG^ NL�!e� IVt'��/,J�f�3' Z f.L /!r'Lt',^.1, l�A`��- CONTRACTOR LIC. #(REQUIRED): �Li.N.LG� �C: L�/l� ",'_.�� CITY OF EVERETT BUSINESS LIC. #(REQUIRED): �7iaSZ' PRIMARY CONTACT: ❑ OWNER CONTRACTOR ❑ 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. All provisions of /aws and ordinances governing this type of work will be comp/eted 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 1 am aufhorized by the owner of this property to perform the work for which application is made and 1 comp/y with the State Contractors Law 18.27 RCW and 296.200 WAC. OwnerlAuthorized 1�-- ZL�-f, Date City of Everett Official Use Only FEE i�� ��. � PERMIT # E`�11�I�1� (Revised 10/12/2015)