7431 3RD DR W 2017-01-18 - Laserfiche WebLink

ELECTRICAL PERMIT - LlCATll0N CITY OF EVERETT PERMIT 'VICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 j (E) everetteps@everettwa.gov j www.everettwa.gov/permits . .' '. PROJECT ADDRESS: 7 13 I ��r t 0 J' W63 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED I SFR ATTACHED El DUPLEX 0 MULTI-FAMILY-#OF UNITS: EI COMMERCIAL USE OF BUILDING: HO, v l • CAS APP1�9CAT1ION IIINFORMATIO`' CONTRACT PRICE OF WORK:$ LOa NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: p0/'O. 7"7 tot 1I9/1• /�f " OI+ITACT 'Air"- M1= � ::�•" " OWNER NA '-9 O, . /-+ / ksCd4 tI u/ TENANT NAME Of Commercial): OWNER MAILING ADDRESS: L 3✓STREET-"irg '�../t� U r cm( EVeAM STATE V V 90i� OWNER PHONE_ 11/0/5-1— 53' 6:w....OWNER EMAIL: .. .. : . .,.,." . . ...__..,..... _.. ..r..:...vv. ._ CONTRACTOR NAME: /el1 ' V riil 66A/4 4 CONTRACTORADDRESS: sir<EEr /5--zt ^e 444.1°''L E1 10 / /� cm, 41(��! l i Y � � STATE hi kt ZIP / �(J/ CONTRACTOR PHONE: 0,D6^- � b77 CONTRACTOR� � EMAIL: e�r,',A Q c41/0,e(,LI��r( /d) ' ` '� CONTRACTOR,LIC.#(REQUIRED):A VT-N 6-a57 - +--- CITY OF EVERETT BUSINESS LIC.#(REQUIRED):0WWW�III777� PRIMARY CONTACT: ❑OWNER .111-CONTRACTOR El OTHER(Please Specify) CONTACT NAME: (� CONTACT PHONE: 01,0 ?b 7f CONTACT EMAIL: i4( /c1cLI AGREEMENT:T hereby certify that I hay read and examined this application and know the same to be true 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 orthe performance of construction. That!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# ir-dI -010/6 � L fw& 4 - Z� Owner/ ut�zed Ag- t Si 4ure Date (Revised 10/12/2015)