6214 COMMERCIAL AVE 2016-05-19 - Laserfiche WebLink

4m- • ECTRICAL PERMIT AF+LICATION CITY OF EVERETT PERMIT SERVICES C )& 61.). -0 y(c, 3200 CEDAR STREET, EVERETT, WA 98201 '2 -9 -ib (P) 425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov 1 www.everettwa.gov/permits 'I PROJECT SITE INFORMATION PROJECT ADDRESS: /02/4 Com171F-icia.i Ave .-vt'r e ft r V'fi yb2Q l BUILDING AREA(if residential, new construction, remodel, or addition) iresicartiai SF BUILDING TYPE: El SFR-DETACHED JF;SFR-ATTACHED ❑ DUPLEX 0 MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: N/A ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 1500 NUMBER OF DEVICES (if low voltage): N/A FIRE ALARM? ❑ YES 91 NO ASSOCIATED BUILDING PERMIT# (if applicable): N�'//4 DESCRIPTION OF WORK: Yew1(Y/llISfc�-1Cin5 .4 9 h-1.5- c' rQcff-/acCer In gai,:zy.Q., '/ Cal CONTACT INFORMATION OWNER NAME: k'enf l d k1Iel( /��1v� TENANT AveME(If Commercial): OWNER MAILING ADDRESS: STREET j 211/41 C r r r �UGC1 ve '�/ [�Q� CITY E�'vv"h 1 STATE r WA ZIP -/ V 20/ OWNER PHONE! <�D�P)�j/U-i20-- eOWNER EMAIL: <C L1 d V✓e. 0II�I�ai/. (�'i CONTRACTOR NAME: In -ON FIeC tiiCGI,i Set Vic(-.), MC. CONTRACTOR ADDRESS: STREET I,/J0 117tD h YSE CITY E V e YL1 G / STATE^ Y`r/21 ZIP CI 9120191201CONTRACTOR PHONE:(425)23'-O!X/3 CONTRACTOR EMAIL: ( CLS l`'� lY)I IOUSSe1QC+VIC. C� CONTRACTOR LIC.#(REQUIRED): IV)owes"/J2 CIG CITY OF EVERETT BUSINESS LIC.#(REQUIRED):til ( PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR V..OTHER (Please Specify) IS-Cy( 0 p--1 ( c cu.'vi,iii ) ) CONTACT NAME: CONTACT PHONE: (L/2(j) -.7110- ,320- k. -'6('.2'y 20-k. 6('/y CONTACT EMAIL: AGREEMENT:Thereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing 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 cancel the provisions of any other state or local law regulating construction or the performance of construction. That lam 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. City of Everett Official Use Only FEE , 1.-6 ,o1 PERMIT# / rev q -UP E t sO2_ D s Own/ /A. Signature Date (Revised 10/12/2015)