3209 HOYT AVE ROYALE CONDO 2017-01-13

� � �LECTRICAL PERMIT AP�ICATI N O 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: � Q, �� 'i �� `�'�L� � BUILDING AREA (if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX MULTI-FAMiLY -# OF UNITS: 2 ❑ COMMERCIAL USE OF BUILDING: CONTACT INFORMATION OWNER NAME: C� � �p�� TENANT NAME (If Commercial): OWNER MAILING ADDRESS: srREEr CITY �� S ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: � �I�/�G CONTRACTORADDRESS: sTREer � � !��/T'"� �nf /v �'✓ CITY s IY�JC�'C STATE W�� ZIP ��2qL CONTRACTOR PHONE: (��60�' �� L CONTRACTOR EMAIL: CONTRACTOR LIC. #(REQUIRED): C �l � 3q�� CITY OF EVERETT BUSINESS LIC. #(REQUIRED): OS,j �� PRIMARY CONTACT: ❑ OWNER CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: 2C_ �_ �j ��-��j C�(„�/(/ CONTACT EMAIL: � AGREEMENT. T hereby certify that I have read and examined this application and know the same fo be true and cor�ect. 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 comp/y with the State Contractors Law 18.27 RCW and 296.200 W,4C. � Owner/Authorized Agent Signature 12 �� s Date City of Everett Official Use On/y FEE �r � � � PERMIT # E��12-I�� (Revised 10/12/2015)