25 E MARINE VIEW DR 2018-05-11 - Laserfiche WebLink

� � �ECTRICAL 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 PROJECT ADDRESS: z 5 G� � " '. �.J � 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:��(� �('��,, ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ �D pOd , Qd NUMBER OF DEVICES if low volta e: FIRE ALARM? ❑ YES �NO ASSOCIATED BUILDING PERMIT # if applicable : DESCRIPTION OF WORK: ��, ��,-4- ('j c�l � �;f c, C�,.•� �,�e.-• CONTACT INFORMATION OWNER NAME: �v% , �ir✓6/i✓jv�/j«/� TENANT NAME (If Commercial): �ivT, ��r/l, OWNER MAILING ADDRESS: ��eeT �, /�-/.bL/rt/ !//lik/ iQ! [/ f�iv �'v✓l vG 7'�`'" aTv Gv /`� STATE /N %4 ziP �.20 OWNER PHONE: �iS - �j�- � 7S� OWNER EMAIL: .�R v� IjGt/•rL�! yT 6/,+� /.0 6' CONTRACTOR NAME: �,p►�-}� 1 M� � C�. CONTRACTOR ADDRESS: sTREEr 21 V j�� ', CITY -'�J Qf � STATE W rT ZIP 1$�� 1 CONTRACTOR PHONE: �Zrj - S)3'�c71 LI CONTRACTOR EMAIL: `� n .(A("� CONTRACTOR LIC. #(REQUIRED): Q�%'j' �"� �� CITY OF EVERETT BUSINESS LIC. #(REc2UIRED): �5�3� PRIMARY CONTACT: ❑ OWNER �CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: �j` _ �--�0��lI�3 �G /L� L 1�t D oPip-a-�/ CONTACT EMAIL: ,� �� G C fj�-� �j ,� p y�� AGREEMENT: T hereby certify that I have read and examined this application and know the same to be true and correct. Al/ provisions of laws and ordinances 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 regu/ating 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 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. OwnerlAuthorized Agent Signature �-, Date City of Everett Official Use Only FEE �� n� PERMIT # E � �0(�-� D� � (Revised 10/17J2015)