4211 TERRACE DR 2017-01-18 - Laserfiche WebLink

VCTRICAL PERMIT AF .ICATION °PO/Z.4 CITY OF EVERETT PERMIT SEkViCES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 I FAX 425-257-8857 ; ;E) everetteps@everettwa.gov I www.everettwa.gov/permits �/ / / PROJECT SITE INFORMATION PROJECT ADDRESS: L7 a l / �� t'�( �'�� - Or BUILDING AREA(if residential, new construction, remodel, or addition) 1 ( SF L?t' BUILDING TYPE: SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELECTRIC APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ (it D NUMBER OF DEVICES (if low voltage): 5 S FIRE ALARM? 0 YES 1NO ASSOCIATED BUILDING PERMIT# (if applicable): rf) f DESCRIPTION OF WORK: ZNfjA-// 1t- `�- Poe? 4-M c c li I Lei, ( CONTACT INFORMATION OWNER NAME: O t& 3 op4-&_ TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET Pp` 7 2 4- Y/`✓CITY Q�"4' STATE Pt)t) n . ZIP 7'L Z -7 OWNER PHONE: �d • C ?5 - 7 2 !/ OWNER EMAIL: it Z CONTRACTOR NAME: eitC GILL-V'( (bi �, 5 -1o / CONTRACTOR ADDRESS: STREET 230'3 620 1-6 12'2 r 3 ( © Ls CITY eJ STATES � /' / ZIP 7E0 2 9 CONTRACTOR PHONE:26�a ?3a �? a'7 CONTRACTO EMAIL: ei,GC_�'L' c X-taki 5 �o/AA) e g i Ler,/� C'Qk CONTRACTOR LIC.#(REQUIRED): S /`-77 E. pj 7 I'c t CITY OF EVERETT BUSINESS LIC.#(REQUIREED): 1 1 l'I PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTMN{ �(` CONTACT PHONE: a0 — ?3 8 y )S 7 I ' �� CONTACT EMAIL:j.o yecii[O �e1 oC b� 11/14,711/14,7 •C� AGREEMENT:T hereby certify that I have read and examined this application and know the same to be true and co rect. All provisions of law 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 moc, PERMIT# hit• # Owner/Aut o ized Agent Signature_ Date (Revised 10/12/2015)