2025 WETMORE AVE 2017-01-18 - Laserfiche WebLink

41477- ECTRICAL PERMIT Al LICATION 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 1 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: ( cn 0l-y� �1 {� , BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: 0 SFR-DETACHED)4,'SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ %-) ' NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES 0 NO g _ ASSOCIATED IT# (if applicable): OL c On `'C Qvtt -{-f- 5/(.000-{, DESCRIPTION OF WORK: r (1 u V _uo ooy- i }( .0 r (1 e. Y R.LPCCQ i - r(if- Com; 1-u--:;, c.JC' vi c:2-- CONTACT INFORMATION OWNER NAME: CVI t ( 1 S . 0__Mtn TENANT NAME(If Commercial): OWNER MAILING ADDI ESS: STREET �(r - CLU-el-- CITY /� gyp{ g CITY STATE �// 1 ZIP 9l�' , OWNER PHONE: cV (xf CoC� �i � 1.---7.5,?, OWNER EMAIL: CONTRACTOR NAME: C'\/1 0 e lel 1 'V C------ CONTRACTOR ADDRESS: STREET 1'ij f$ eArLe:)( t 7L__;&) e^ � < �. STATE y'�( n CITY �.� v ZIP 6 /'ly/� /n � ��/� / • �,, CONTRACTOR PHONE: D 24)q cc; 9 CONTRACTOR EMAIL: �' N&-c a d -4) •i ' CY / ( v�-0Q-b' i ( `6. A CONTRACTOR LIC.#(REQUIRED): `-1 i' � D 1 7Ci( 1V CITY OF EVERETT BUSINESS LIC.#(REQUIRED): ,(QC' PRIMARY CONTACT: 0 OWNER rE/6)NTRACTOR ❑ OTHER(Please Specify) CO TACT NAME; CONTACT PHONE: ) c/ / - )� 4 "(-- CONTACT EMAIL: \i(1 "-�J%gid I `tom' CL` s\%`-�Z3-----1% ,C.E AGREEMENT:Thereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governiis 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 R , ,, vi_s&-;-,1r , 1,0, 2 In 1.k.., PERMIT# C0(L,( 7,,,, ' H. E 1102)474 wner/Authorized Agent Signature ` Date (Revised 10/12/2015)