3101 CEDAR ST 2018-09-28 - Laserfiche WebLink

OLT ECTRICAL PERMIT A LIGATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 f FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 7010 Cedov- -}(C '4- BUILDING AREA(if residential,new construction,remodel,or addition) r SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 14OMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ r b-7 .0 NUMBER OF DEVICES (if low voltage): 4 FIRE ALARM? 0 YES v►NO ASSOCIATED BUILDING PERMIT#(if applicable): p/„' DESCRIPTION OF WORK: Q 16► 4- 350-` `W0 izsO C rA ruler &k CONTACT INFORMATION OWNER NAME: C 14 ' E 4 TENANT NAME(If Commercial): YU r1 IC L OWNER MAILING ADDRESS: STREET Pe )' ZI Ti), STATE zip 112, OWNER PHONE: __ ) rt S 9 OWNER EMAIL: REAR ch C uere44 o t1 CONTRACTOR NAME: CCL, CQ t'i!' U N( .111 n. CONTRACTOR ADDRESS: STREET IOC .}' < f '- 1 5U1 e CITY Qi.' 4i) STATE i/PJM ZIP CIg .J CONTRACTOR PHONE: 25,7)-N iso 'CONTRACTOR EMAIL: 11190 ZC4I ( T .Calms CONTRACTOR LIC.#(REQUIRED): ��rC *190 MC CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 1 zq PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 7,53 - gR _ 00 q q CONTACT EMAIL: AGREEMENT T hereby certify that l have read and examined this application and know the same to be true and correct. 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 t am authorized by the owner of this property to perform the work for which application is made and t comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE 4A2 PERMIT# 60lb ./1& E Lai0&-01(fl Owner/Authorized Agent Signature Date (Revised 10/1212015)