1711 WETMORE AVE 2016-10-14 - Laserfiche WebLink

�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 SITE INFORMATION PROJECTADDRESS: � �,p�� -d� 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: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑ YES ❑ NO ASSOCIATED BUILDING PERMIT # (if applicable): DESCRIPTION OF WORK: � %O Si7Z/Kt= S��( GE "'1��/ o� L� S i i rv C� ZOO r4�y� 5�Z v r �c CONTACT INFORMATION OWNER NAME: L � p�L/ SLE TENANT NAME (If Commercial): OWNER MAILING ADDRESS: srREeT // '�✓�'j��'1o%�� /4'v� CITY CVc'�-�-� STATE i1JLQ ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: � L i � //V� CONTRACTOR ADDRESS: sTReeT /�� E /�l�'7�/� (�{'CJ��O�-.1 L-^% CITY ��i STATE W✓�' ZIP � Lp CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC. #(REG2UIRED): ��L�C ( Z � CITY OF EVERETT BUSINESS LIC. #(REQUIRED): �,s,j� _ _ _ ._ _. _ _ _ _ _ PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: AGREEMENT: T hereby certify that / have read and examined this applicafion and know the same to be f�ue and correct. All provisions of laws and ordinances govemrng this fype 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 stafe or local law regulafing construction or the performance of construction. That I am authorized by the owner of this properfy to perform fhe work for which application is made and 1 comply with the State Confractors Law 18.27 RCW and 296.200 WAC. gnature City of Everett Official Use Only FEE J� �j Lf � PERMIT # �' �' l l� 0 �-((� 5 (Revised 10/12/2015)