8306 11TH DR W 2018-07-16 - Laserfiche WebLink

� �- ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CED^R STREET, EVERETT, WP� 9a201 (P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: � � � � %±''- � j�_)Q� BUILDING AREA (if residential, new construction, remodel, or addition) '�'" �? SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ULTI-FAMILY -# OF UNITS:� � COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION ---� - c � CONTRACT PRICE OF WORK: $ (�Z'� - - NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑ YES �.NO ASSOCIATED BUILDING PERMIT # (if applicable): � , ESCRIPTION OF WORK: �, � � � �� N - _� `' �\ e -� � J � CONTACT INFORMATION OWNER NAME: �- , -� TENANT NAME (If Commercial): OWNER MAILING ADDRESS: srReeT �� CITY (� STATE ZIP y r � OWNER PHONE:��-(1�" � `�'� ' � _, � OWNER EMAIL: � CONTRACTOR NAME: E> � -- ` -, � � 'l CONTRACTOR ADDRESS: sTReer � � -� �/ CITY ' j STATE � ZIP ' } \; CONTRACTOR PHONE: �. � � -' �� CONTRACTOR EMAIL: CONTRACTOR LIC. #(REQUIRED):� ! E�L'� �� ( �� CITY OF EVERETT BUSINESS LIC. #(REQUIRED): Q g%�3 PRIMARY CONTACT: WNER ONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: 3� �, �� w' � f�C� �,v�— �, �-_ CONTACT EMAIL � " Y� ; �� J � y� AGREEMENT: 1 herebVi certify have read and examined this application and know the same to be e and correct. All provisions of laws and ordinances poverninp 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 # E C��o— c�� (Revised 9/23/2016)