1300 100TH PL SE 2019-01-11 - Laserfiche WebLink

4rETT ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: i .3 t2i 7 ( CC/ +4 'pt.— 5 BUILDING AREA(if residential, new construction, remodel,or addition) WIV SF BUILDING TYPE: 0 SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX 'f1 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Ala e-46 ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 7400 NUMBER OF DEVICES (if low voltage): 3 FIRE ALARM? ❑YES NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: JAI t3 L7 �_ / e�`, C.fl2ZE'�CIrS CONTACT INFORMATION OWNER NAME: � J�� TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET ` /�y CITY 47 '1 STATE !R ZIP///�('( 2Of 3 OWNER PHONE: 1Zes'3 E71r'.3C) OWNER EMAIL: CONTRACTOR NAME: t2/yrit j L 5' e,.i-//,y , &',27 f/( CONTRACTOR ADDRESS: STREET? o /150-1Z, 3.55- CIT /4471.11',// STATE 4...e0711 zip 5 Z 3 CONTRACTOR PHONE•3 Ca--4j 9- 1135-7 CONTRACTOR EMAIL: )%�cli 5y,Si %e,?(`_f�eL'le •4,15 „ ee;Wr CONTRACTOR LIC.#(REQUIRED): 174,0i1/ -G-i7/.,2 PJB CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 12 3 tO' D PRIMARY CONTACT: 0 OWNER 4 CONTRACTOR 0 OTHER(Please Specify) CONTACT N,A�M/E: CONTACT PHONE:,3etyfz:p -f—/t--750 lina6"e--LC', CONTACT EMAIL/!![ lrGL 6/6 2' / �l� L � Ce_w7 AGREEMENT:l hereby 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 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# elfakie l (0\2, Opt-2 Ow er/• horized Agent Signature Date (Revised 9/23/2016)