5525 WETMORE AVE 2017-01-13 - Laserfiche WebLink

� �_ � ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everetfinra.gov � www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: � Z 5 l�►/ � � m � � � � V %°V.� s � !- � V✓� .� �. Uy BUILDING AREA (if residential, new construction, remodel, or addition) SF BUILDiNG TYPE: ❑ SFR-DETACHED O SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY -# OF UNITS: ❑ COMMERCIAL USE OF BUILDING: CONTACT INFORMATION OWNER NAME: L�� D� M �� TENANT NAME If Commercial : OWNER MAILING ADDRESS: srneeT S� L� `Wt' '� J>'� D/�' � v Q � i/Q I"� f"f L✓ q S Z 7� i ciTv STAlE zia OWNER PHONE: OWNER EMAIL: CONTRACTORNAME: /vq Q '�1^r� LG CONTRACTOR ADDRESS: srne� 3 I( 7 I � S� Nr M A✓' Y J/� . W % 8 2- I� cirv srn� ziP GONTRACTOR PHONE: �� S" Z F� �` y S Z- i CONTRACTOR EMAIL: Y1 c� I� .�Q I C'� r�� C. i� �•� �'+^ N i �.( D v✓I CONTRACTOR LIC. #(REQUIRED): �' �' I-� S 3 K A CITY OF EVERETT BUSINESS LIC. #(REQUIRED): "l PRIMARY CONTACT: ❑ OWNER CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: r CONTACT PHONE: �� , Z�• �� y�` Z"� � l�l v� 1` CONTACT EMAI L: n G� j� `� I f C 1 C �t �i�a1 , Cvn-� AGREEMENT.� l here6y ceRily that 1 have read and ezamined this application and know the same to be true and correct. All provisions of laws and ordinances goveming this type of worlc will be completed whether spec�ed 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 construcfion. That 1 am authonzed 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. � r�-z�-�� Owner/Authorized Agent Signature Date City of Everett O�cial Use Only PERMIT # E l � �0� 262 (Revised 9/23/2016)