Laserfiche WebLink
4f LECTRICAL PERMIT 16PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 GEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 (E) everetteps@everettwa.gov www.everettwa.gov1permits <br /> PROJECT ADDRESS: W;j -/ !Zp 'dvz/ _,5 <br /> BUILDING AREA(if residential, new construction,remodel, or addition) SF <br /> BUILDING TYPE: El SFR-DETACHED El SFR ATTACHED 0 DUPLEX El MULTI-FAMILY-4 OF UNITS-- IVCOMMERCIAL <br /> USE OF BUILDING: <br /> -A A <br /> POL <br /> CONTRACT PRICE OF WORK: <br /> NUMBER OF DEVICES (if low voltage). <br /> FIRE ALARM? El YES <br /> ASSOCIATED BUILDING PERMIT 4(if applicable): <br /> DESCRIPTION-OF WORK: <br /> 14 <br /> (?:WNER NAML.�'�Z_!'D2 Av TENANT NAME(if Commercial): <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: :A OWNER EMAIL: <br /> CONTRACTOR NAME: <br /> CONTRACTOR ADDRESS: STREET Wo <br /> STATE JA,�* Zip <br /> CITY <br /> -2 iNCONTRACTOR EMAIL: <br /> CONTRACTOR PHONE: <br /> CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED); <br /> pRIMARYCONTACT. E] OWNER EICONTRACTOR EUTHER(Please Specify) <br /> CONTACT NAME: ICONTACT PHONE: 2 <br /> -Vkk� I( Lj r, NI <br /> i nT ArT EMAIL: visions of laws and ordinances governing this <br /> AGREEMENT. Thereby certify that/have read and examined this application and know the same to be true and correct. All pro <br /> type of work will be completed whether specified herein ornot. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or <br /> 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 <br /> comply with the State Contractors Law 18.27RCWand 296.200 WAC. City of Everett official Use Only <br /> FEE <br /> PERMIT# <br /> EVl <br /> 0 nerIA t6orized Agen igmature Date (Revised 1011212015) <br />