2332 ROCKEFELLER AVE 2016-08-30 - 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 PROJECTADDRESS: � �j �iv L'L,� �LTL ��t'�'i BUILDING AREA (if residential, new construction, remodel, or addition) SF BUILDING TYPE: FR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY -# OF UNITS: ❑ COMMERCIAL USE OF BUILDING: � F (Z , ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 9D(' ��' NUMBER OF DEVICES if low volta e: FIRE ALARM? ❑ YES ❑ NO ASSOCIATED BUILDING PERMIT # if a licable : DESCRIPTION OF WORK: Z(� U/1,. � f' s'FL 2 �� G� ��I j� IC� �� CONTACT INFORMATION OWNER NAME: TENANT NAME (If Commercial): OWNER MAILING ADDRESS: sTReET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTORNAME: Fz L�(�'y'Z� G �'/vG . CONTRACTOR ADDRESS: s�rri�T� � G� Z1 1% ciTv 2. i 7V /l� srArE �%� ziP /�� CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC. #(REQUIRED): � � (� � `7 %v �'[ � CITY OF EVERETT BUSINESS LIC. #(REQUIRED): (�j 8I � PRIMARY CONTACT: ❑ OWNER �CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: 'Z�G ' %`/,j ' ) �LG IZ.;�N (� V yQr (j �� CONTACTEMAIL: �„ ��' �„� . ��G��, l AGREEMENT T herebvi certifv thaf I have read and examined this aoolication and know the same fo be frue and correcf. I p�ovisions of laws and o�dinances qoveminq this type of work will be completed whefher speclfied herein or not. The granting of a permit does not presume to give euthority to vio/ate o� cancel the provisions of any other state oi local law regulating construction or the performance of construction. That l am authorized by fhe owner of this property to perform the wa7c for which application is made end 1 comply with the State Confractors Law 18.27 RCW and 296.200 WAC. -� City of Everett Official Use Only FEE � �I \ V � PERMIT # E �c�o�� (Revised 10/?2/2015)