1024 WETMORE AVE 2016-08-31 - Laserfiche WebLink

�.w��_ �� �.ECTRICAL PERMIT A�'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 51TE �NFtlRMATION ' PROJECT ADDRESS: ' p2y V� Q,—tY1nO�Q� �V Q� ��/P-f �r, �� g2O 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: �� CONTACT INEORMATION OWNER NAME: �V S0.(t � TENANT NAME (If Commercial): n-� �.- OWNER MAILING ADDRESS: sTREeT a O2� �Q�'YY�A�'Q� %�/� CITY � STATE �,/�1f 0- ZIP � !L � � OWNER PHONE: Z��n % I,?j — CoZ.�{ 3 OWNER EMAIL: 51'�? ¢� S� � ma-+ (. ��'1'L CONTRACTOR NAME: � Q�S�QX'rt 45'��0�� 1'1 C, CONTRACTOR ADDRESS: sTReEr O�-I ��—F.Ot'�Q_ �� S'�'Q., CITY F� Q,�I �( (L Y�CL STATE ZIP � C] G- �Q CONTRACTOR PHONE: '�100 `I �p — O$S CONTRACTOR EMAIL: l�o@ W2StQ.,�'Y�5o�0..t�1�'►C�• C:A CONTRACTOR LIC. #(REQUIRED): EST�S� O, ZD� CITY OF EVERETT BUSINESS LIC. #(REQUIRED): (�j l S S PRIMARY CONTACT: ❑ OWNER �CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: 3�y p� `�� —�� S� 1�� - CONTACT EMAIL: ka-}j�� WQ,S—r�nS'OI Gif'� rl C. Cp AGREEMENT: T hereby certify that 1 have iead and examined this application and know the same to be true and correct. All p�ovisions of laws and ordinances governing this type of work will be completed whethe� specified herein or not. The granting of a permit does not presume to give authority to violate o� cancel the provisions of any other state o� local law regulating construction or the performance of construction. Thaf 1 am authorized by the owner of this property to perform fhe work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. Agent Signature �/��z�t� Date City of Everett Official Use Only FEE �� PERMIT # E� �I��' � (Revised 10/17J2015)