605 HOYT AVE 2016-09-29 - Laserfiche WebLink

05/03/2016 TUE 11: 09 FAX 4252521666 CM Heating E003/004 R-ECTRICAL PERMIT A10FILICATION Ey CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257.8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa,gov I www.everettwa.gov/permits PR'OjECT 'SITE INF'OIRMATION s• PROJECT ADDRESS: ale., BUILDING AREA(If residential, new construction, remodel, or addltlon) SF BUILDING TYPE: ❑ SFR-DETACHED SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS ❑ COMMERCIAL USE OF BUILDING: HEC1I'hICA4 APPLICATION'.'INFOaMAT ON CONTRACT PRICE OF WORK: a NUMBER OF DEVICES If low volts e : FIRE ALARM? ❑YES 0 NO ASSOCIATED BUILDING PERMIT# If a Ilcable : DESCRIPTION OF WORK: •(. -Y CONTAvr INFORMATION OWNER NAME: TENANT NAME If Commercial): OWNER MAILING ADDRESS: C ITY STATE ZIP OWNER PHONE; C OWNER EMAIL; CONTRACTOR NAME: CONTRACTOR ADDRESS: STRELT r l CITY STATE ZIP ` CONTRACTOR PHONE: CONTRACTOR EMAIL: Me g2cack, v CONTRACTOR I.IC,MREQUIRED ; CITY OF EVERETT BUSINESS LIC..# REQUIRED : PRIMARY CONTACT: ❑ OWNER 0ON7RACTOR ❑ OTHFR(Pleaee Speclly) CONTACT NAME; CONTACT PHONE; CONTACT EMAIL: AGREEMENT:T horoby cortlly that I havo road and oxamfnod this appllcallon and know tho same to be true and correct. All provlslons oflewa and ordinances govorning this type of work will be completed whether specified herein or not. The granting of a permit does not presume to glvo authority to violate or cancel the provlslons of any other state or local law ragulating constructlon or the patformanae of consiruotion. That I em authorized by the owner of this property to perform the work for which appticat(on Is made and I comply with the State Contractors Lew 98.27 RCW and 298.200 WAC. City of Everett Official Liss Only FEE PERMI(T# E OwnerlAuthorized Agent Signature Dat6 7i3ovlSed 10/12/2016)