4915 SOUND AVE 2016-08-31 - Laserfiche WebLink

�ECTRICAL PERMIT AI�LICATION 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: I S� ��,{,�Y� � �V-+� 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: � S��Q,....��•� � ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ �`�X� NUMBER OF DEVICES (if low voltage): ,��i ��u,c..rt., 2t�c�f� FIRE ALARM? ❑ YES �O ASSOCIATED BUILDING PERMIT # (if applicable): DESCRIPTION OF WORK: �� "� S"i�ri-�.,r�(L�' •�J'� l� C�c !� . � CONTACT INFORMATION OWNER NAME: i�� L�� TENANT NAME (If Commercial): OWNER MAILING ADDRESS: sTReET � � ��.vvtic,� �\7E CITY ��rL� STATE �� ZIP � � OWNERPHONE: �I�S �`j(� � OWNEREMAIL: r'. MCK�E? _ �i�► ��rUvC J �f'� - -+'1'� CONTRACTOR NAME: �. �,r �/� C e S ..I._1� L CONTRACTOR ADDRESS: sTReeT j( � c:l� S 1 �' CITY I r �1✓1 W STATE �% ZIP C� �Z Z� CONTRACTOR PHONE: � C 0 �I t73 ��C�S I Sy CONTRACTOR EMAIL: �,�: � �I n ir.a� ��e C.'�'�1� �►'r1SYi. ��ry7 CONTRACTOR LIC. #(REQUIRED): %��E' �� ' k CITY OF EVERETT BUSINESS LIC. #(REQUIRED): C.v�'Y�1'� PRIMARY CONTACT: ❑ OWNER ONTRACTOR ❑ OTHER (Please Specify) �-�� y�� CONTACT NAME• CONTACT PHONE: ��,L y�!� -� �'j S'j S �( j SSi� I( I I�� U� CONTACT EMAIL: ��^ f �' ��(��,s'j L�' /y� 5•�� ., L[� HCiKttMtIV l: I nereQy cerury rnar i nave reaa ana exammea rn�s appucarion ana Know rne same ro Qe rrue ana correcr. Hu provisions or �aws ana oramances governmg rnis 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 sfate or local law regulating construction or the performance of construction. That 1 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 RCW and 296.200 WAC. Owner/Authorized Agent Signature .-�`.� . Date City of Everett Official Use Only FEE �� ° PERMIT # E ��1�-�S� (Revised 10/12/2015)