2025 WETMORE AVE 2017-01-18 - Laserfiche WebLink

03/03/2016 THU 12: 16 FAX 4252521666 CM Heating U003/004 ECTRICAL PERMIT AILICATION _ CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa,gov I www,everettwa,gov/permits ,A t.;,,„; ,; ,. ,•., • ,pROJECT':SITEINFORMATION PROJECT ADDRESS: Q © U) YVRJ:), CJ U?/.. 1 921 ao BUILDING AREA(If residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ' FR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: ` ELECTRICAL APPLICA`I”IOM 710EORMA`1'I0N CONTRACT PRICE OF WORK $ a C. NUMBER OF DEVICES (If low voltageL FIRE ALARM? ❑YES [a NO ASSOCIATED BUILDING PERMIT# (If applicable): DESCRIPTION OF WORK: �o c ec i e 1 i . , • Rh -1-r l CA' TOf Kaci hpsat puirhp • CONTACT.INFORMATION OWNER NAME: LAO TENANT NAME (If Commercial): OWNER MAILING ADDR S; STREET G ( 1j) U)ei-n1I O f Q, CtAj ��7/t��y Ire �CI1TY STATE ' zip f (J�Q l OWNER PHONE: H"(9` OWNER EMAIL: CONTRACTOR NAME: an I 1-1,c4;n G- CONTRACTOR ADDRESS: STREET 11-A15 FRO UDb CITY ex eKeW HATE \ALA u ZIP (-ra0 1C 1 CONTRACTOR PHONE:" be( OB-- C CONTRACTOR EMAIL: MeitZec,�iTh C,%CPh�'1-8A"1YI q CO CONTRACTOR LIC.#(REQUIRED): CO he )t- h `27dN CITY OF EVERETT BUSINESS LIC.#(REQUIRED): LOQ—("�J((y}�� PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACTNAME: CONTACT PHONE: 14 25 2_59 (s oCpAthfl ' CM ` l-e Frri CONTACT EMAIL: Lq ! 0_7 C'rYl t'l4-fti "(,,!is.co 61 AGREEMENT. T hereby certify that 1 have read end examined this application and know the seine to be true and correct. All provisions of laws end 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 conetruot/on or 1119 performance of construct(on, That I em authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 113.27 RCA/and 298.200 WAC. City of Everett Official Use Only FEE b v y PERMIT# _��!�«• E l (0b2) ._ 010 Owner/Authorized Agent Signature p (Revised 10/12/2016)