425 45TH ST SW 2021-09-14 - Laserfiche WebLink

41E7T ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 4 25 -1-5-1-4 �l� �e/�J3 //'4 gz57203 BUILDING AREA(if residential,new construction,remodel, or addition) E�� SF q BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX MULTI-FAMILY-#OF UNITS: 15 0 COMMERCIAL USE OF BUILDING: HOW(/Z ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ ,70) 2-51(e NUMBER OF DEVICES�(if low voltage): (p./.._FIRE ALARM? LYYES ❑ NO ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK: rama and figtet ( a, bie z/i'-, s✓S'tern to j''iee/ /e)ca/ EMIT Ma -;G rer1-o merits CONTACT INFORMATION OWNER NAME: Part Oaf-doer /yl(wQ e.fne e TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 21a-7--yHe/+J'6 dye CITY Ei/e,'/7' STATE W4-��i ZIP F�./1e�7 OWNER PHONE: 4 25-CjOFf - iC(� (d OWNER EMAIL: to I steep rtya/(,toering/`�'f'f-coin CONTRACTOR NAME: 4/I Wire t/e6t`i(, ;PIC. Vl CONTRACTOR ADDRESS: STREET) 3/� /S�-W CI zr/tej ivw/i JJf /J 206-4735 CITY S ea-1 STATE <7 'IZIP 'I J L/ CONTRACTOR PHONE: -C6ioo CONTRACTOR EMAIL: 91 teect1/WI/�Pe ea-7.7 - 66) i)f' CONTRACTOR LIC.#(REQUIRED): 4/4 PV .. �( CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 0542-/0 PRIMARY CONTACT: 0 OWNER LYCONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: �j -22-4 -4-3)3 DY 2,'-y f-61Gt� Jerem'a/i -a-Ik-ek CONTACT EMAIL: ,errjn� '� ��GtJ11�, � r/ilQ�%emit �607. � AGREEMENT:I hereby certify that I have read and examined this application and know the sam.to be true and correct. All provisions of laws and ordinances governing this type of work wit!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 I am 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 PERMIT# -7%"• 03 bi Owner/Authorize. Agent Signature Da (Revised 9/23/2016)