6212 OAKES AVE 2017-01-13 - Laserfiche WebLink

��►�` �r� �E�TRICa4L PER�iII� A�LICAiION 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 S1TE 1NFORflliATlOiV PROJECT ADDRESS: �� I � C� r.� V � �� ,_�--L �= � �-��r � � � '�- BUILDING AREA (if residential, new construction, remodel, or addition) SF BUILDING TYPE: id"SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY -# OF UNITS: ❑ COMMERCIAL U5E OF BUILDING: �� ` �� n �� ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $�� S J� U J ._---Lf-a--Fj�--. NUMBER OF DEVICES (if low voltage): � L�� 1 � �� !�� FIRE ALARM? ❑ YES ❑ NO ASSOCIATED BUILDING PERMIT # (if applicable): DESCRIPTION OF WORK: � �' n i� � `/ '�� ^j s ''� `� �- L � ��'�-*� � � �'�� F� �) N�'l�' �c t� c c,� l�v t�2 �� i D S'' W i i2 c-f� - PR c �� t!� i:� � 2� '�/�l-c- c r' ,/>2 0�[_; �,n u,-� �'._.�U ;,Z C c fZ C v c� .-�, � / .S S ' CONTACT INFORMATION OWNER NAME: TENANT NAME (If Commercial): OWNER MAILING ADDRESS: sTReeT V Z(2- �-1�'Q ��S � v/ ' � '� �- �' � � � GTY " _ � STATE � �`1 � ZIP OWNER PHONE: OWNER EMAIL: __ _. _ ._ ... . ___ ..._ _ _ _._.__. . _.... _ _ _..._ ... ._ . ._... . _... _. _ . .. _. _ _. ..... . . __ .. .. _.. ...___. CONTRACTOR NAME: �-= � L � � � S ��L � �- i � � L CONTRACTOR ADDRESS: s-rREeT � �-� � � � � � �� L � V(/2 �� L°��, CITY l�J � STATE '`'' -� ZIP L 1" LJ� y CONTRACTOR PHONE; `t" 2 S ' � `� � � �?U� CONTRACTOR EMAIL: '� t_�� ,S �' S _ C� � ` � ' � "" CONTRACTOR LIC. #(REQUIRED): L�� I � � �= ��l L- //,r�} CITY OF EVERETT BUSINESS LIC. #(REQUI D): PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: � CONTACT PHONE: %�'1 S ��:.5'�' � << ° � �-� �3 �I.� � �' � L L� � CONTACT EMAIL: AGREEMENT.� T hereby certify that 1 have read and examined this application and know the same to 6e frue and correct. All provisions of /aws and ordinances goveming this type of work will 6e complefed whether specified herein or not. The granting of a permii does not presume to give authority io violate or cancel the provisions of any other sfate or local law regulating construction or the performance of construction. Thaf I am authorized 6y the ov✓ner of this property to perform the work for which application is made and 1 comply with the State Contractors Law 98.27 RCW and 298.200 WAC. � Owner/Authorized Agent Signature �� 2 � � Date City of Everett Official Use Only FEE . .-� � � � O/ PERMIT# E Z, � � � (Revised i0/12/2095)