2102 RAINIER AVE 2017-01-18 - Laserfiche WebLink

Lf/ 1- 4Err ELECTRICAL PERMIT APPLICATION 1196 i CITY OF EVERETT PERMIT SERVICES `�- 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 FAX 425-257-8857 1(E)everetteps@everettwa.gov( www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: , ) O a c2jt ..l hi'e,— BUILDING AREA(if residential,new construction,remodel,or addition)re d(C. � \CL,A SF BUILDING TYPE: &SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ft's Cu ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 3 t NUMBER OF DEVICES(if low voltage): 5 FIRE ALARM? 0 YES tIO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 1 SA-(K,\,\: l` CONTACT INFORMATION OWNER NAME:--. \ NG,/ TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET t Q ,lrl /��}y//y'��)� (`� CITY ( STATE V-4()... ZIP t/ �..i OWNER PHONE:(lai.7.). 7�1. 4 7L) OWNER EMAIL: CONTRACTOR NAME: t UV S - y 0--)A.c3, CONTRACTOR ADDRESS: STREET l a C) (, CITY „S-scl 01\r•Q Y1 t STATE ZIP qV 9, CONTRACTOR PHONE:,CQG 'Cc9 C CO CONTRACTOR EMAIL: t dl p ry� (,(‘ CONTRACTOR LIC.#(REQUIRED):l'\jLJI'5 ,C.S S J l Y&\ CITY OF EVERETT BUSINESS LIC.#(REQUIRED):O;