5202 SEAHURST AVE 2016-10-05 - 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: �ZOZ S�AV `I/�V�� VPi � cUQI�� 1/�I/� �� "/ 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: -�/� �j (�1G1 �j� (� ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ � GjQO NUMBER OF DEVICES (if low volta e): FIRE ALARM? ❑ YES NO ASSOCIATED BUILDING PERMIT # if a licable : DESCRIPTION OF WORK: 2(� Q�� l �1� 1ti/ It � Oa, Z�� I� � � r�t�U t� o�,e-Q l � D C� �, h G1 sf fGt �l CONTACT INFORMATION OWNER NAME: ��i�r,�/�.ra 1 �,1�5 TENANT NAME (If Commercial): OWNER MAILING ADDRESS: srReeT � ZO2 S� V1LI�S� �v Q CITY V v�JY '`%� STATE W' J ZIP� V� � OWNER PHONE: �� N I�' OWNER EMAIL: N�� CONTRACTORNAME: IY� `'U�/�S� ��C�nCiJL� Slir� l/�J ��/• CONTRACTOR ADDRESS: sTREET I��%Q 1 �� 1� �� r S�i CITY � F�V "�"C� S��l./ � V�� J STATE W� ZIP � 4�"✓ � CONTRACTOR PHONE: ��[�"l IQO —"l � CONTRACTOR EMAIL: � CGI S I i��I/1�Q�1C.v 6V ( C• Gt�Y��I CONTRACTOR LIC. #(REQUIRED): I N��5 � V,�ZQG CITY OF EVERETT BUSINESS LIC. #(REQUIRED): D� -t �� PRIMARY CONTACT: ❑ OWNER CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: �I �� CONTACT PHONE: � VI Z� , � (fL� � �jZQ 3 , � CONTACT EMAIL: �� S-e 1r.�j(/�`� S (i� �(1 �' . �V� ArREEMENT T herebvi certifv that 1 have read and examined this aoolication and know the same to be true an correct. All provisions of laws and ordinances qoverninq 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 cance/ the provisions of any other state or local law regulating 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 I comp/y with the State Contractors Law 18.27 RCW and 296.200 WAC. � City of Everett Official Use Only FEE � � o �i I i PERMIT # E � �� - I�� (Revised 10/12/2015)