3025 LOMBARD AVE 2017-06-13 - Laserfiche WebLink

.ECTRICAL PERMIT A LICATI®N CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits • PROJECT SITE INFORMATION PROJECT ADDRESS: 30 Z, g,/PL- A✓ E!uf'i`T � ZO BUILDING AREA(if residential, new construction, remodel, or addition) (� 7t SF BUILDING TYPE: 0 SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: a/COMMERCIAL USE OF BUILDING: _Se A. id ELECTRICAL APPLICATION INFORMATION • CONTRACT PRICE OF WORK: $ /j, U LIC) NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑ YES BeNO ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK: t7 '7 < / -e-rit'ck'= C— R P%. - Lf66/Tfr' s p C t.&c_'('T /6;R-- ST-4- /6-r` 06 e St n= le_ CONTACT:INFORMATION OWNER NAME: C Y TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET -l)e S-7/140At) CITY 4 V�gru2 7— STATE "+ :0c zIP 1 v 2 > OWNER PHONE: (4 1:5 - ZJ 7 emelt, OWNER EMAIL: k S414LI16Z Y CONTRACTOR NAME: I/0 U 6y... i <:l a-a: C G. 4 j - '-r CONTRACTOR ADDRESS: STREET /(0 6 At t rr 24-( /( L7C‘6.f � /1-�%Z i•-p¢ /�/� CITY �y IJG y t'r STATE 7 L) zIP 't e Z e CONTRACTOR PHONE: ZO �i Z t5 CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED):0 7,2,5-5-8 PRIMARY CONTACT: ❑ OWNER fsONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: �` CONTACT PHONE: 1-47C 0_�z_ 9/G� v,•"1& O � CONTACT EMAIL: �. ] C f•'1G - Ccul'L 1 AGREEMENT:T hereby certify that 1 have read and examined this application and know the same to be tr r 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 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 FEE PERMIT# 4, 7 Zo/C E I4)-) Owner/Autho - 2 Date (Revised 10/12/2015)