2922 HOYT AVE WA HOME OF YOUR OWN 2017-01-13

� �- � ELECTRICAL PERMIT AP 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 PROJECT ADDRESS: �� y k � ,�.Z}-�- � � ` BUILDING AREA (if residential, new construction, remodel, or addition) i�',S i�i(,2,�1 �-i �,t,l SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX I�( MULTI-FAMILY -# OF UNITS:�z ❑ COMMERCIAL USE OF BUILDWG: .� � � �,. ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ �-`� , V NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑ YES L�NO ASSOCIATED BUILDING PERMIT # (if applicable): DESCRIPTION OF WORK: r�� ; ��--1.z:� -�-�.(' ��n, cs,,1� �c,t� -�-ern crn� (��nz.t�%�\ �! � � �""�n'- �- �� W /� Lc`s l,•n. � � �--o CONTACT INFORMATION OWNER NAME: TENANT NAME (If Commercial): OWNER MAILING ADDRESS: srREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: �^ ��;,�- ��G ��(`L �/�C �j 1 � CONTRACTOR ADDRESS: sTREET � `� �'� � S �� CITY L.��/ /�,1�,`.i l; � �!` STATE ��V 't ZIP (j �j CONTRACTOR PHONE: -�`�- S� � CONTRACTOR EMAIL: � M� �"l^ CONTRACTOR LIC. #(REQUIRED): CITY OF EVERETT BUSINESS LIC. #(REQUIRED): UL �pZ __ � . PRIMARY CONTACT: ❑ OWNER �CONTRACTOR ❑ OTHER (Please Specify) �U� —� �(� 7`l� 5 �-v�-Li.�<S CONTACT NAME: CONTACT PHONE: '�(j (� — t� `� �� C.�� S � G—V�.L('rS S M i`�� CONTACT EMAIL: L.�.M f•-}� C^I �:t-c, i�� V' �r�`nc/ . AGREEMENT. T irereby certify thaf 1 have read and examined this application and know the same to be true and correct. Al! provisions of /aws and ordinance overning this type of work will be completed whether specified herein or not. The granting of a permit does nof presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construcfion. That 1 am authorized by the owner of this property to perform the work for which application is made and l comply with the State Contractors Law 18.27 RCW and 296.200 WAC. � er/Authorized Acfer�icanature City of Everett Official Use Only FEE � I�� � PERMIT # E��I- II (Revised 10/12/2015)