7519 BROADWAY 2017-02-27 - Laserfiche WebLink

'--- HLECCTRaCAL PERMIT A—F'VICES L UCATlON ' f. CITY OF EVERETT PERMITS 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettAra.gov 1 www.everettwagov/permits (� (4� :- � -� IiI�I . PROJECT ADDRESS: J / 9 d✓co....ii ca✓„".7, BUILDING AREA(if residential,new construction,remodel,or addition) aR VO D SF BUILDING TYPE: I:I SFR-DETACHED Xi SFR ATTACHED )_7 DUPLEX 0 MULTI-FAMILY-#OF UNITS: D COMMERCIAL USE OF BUILDING: • — ,. ...- ' ' : -'' ' ' r ELECTRICAL APPLICATIPIIITHNFORMATIO ' - ,.. CONTRACT PRICE OF WORK:$ Z) �� NUMBER OF DEVICES (if low voltage); • FIRE ALARM? ❑YES IJ NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION.OF WORK: fi•Ji r ti 1 y° ° Si je t All c%1.--1 � ti 1 l'_-7,..::'''2..,..:7-;:- - CTS i4.0*1.01.0, :„.?::::::,..,-,.;"_:7,- --..: :,.. Q1NNEli NAME(* /./et et...i r' jVrY,4/v-p p 1,3,6 TENANT NAME(If Commercial): MAILING ILING ADDRESS: s-nREEr / •.. CITY . - .. STATE ZIP OWNER PHONE: j OWNER EMAIL: CONTRACTOR NAME: M/l/a r7��i Vo'-',7. .., A l; rlY`..t/.;..Sg G .........,r CONTRACTOR ADDRESS: ? � 4 v„ �'�� 97 CRY Al r/� h! )t3 `1 STATE fit/7/ ZIP .7,7 5 CONTRACTOR PHONE: f-/J5----J,? 0 '31/ 0 CONTRACTOR EMAIL: ' 9 CONTRACTOR LIC,#(REQUIRED): A/0, 7'/-IL 12 O 4/4/"n/ CITY OF EVERETT BUSINESS LIC.#(REQUIRED):�0.�. �0 PRIMARY CONTACT: %;. OWNER 0 CONTRACTOR D OTHER(Please Specify) CONTACT NAME: /r e,.i1, k CONTACT PHONE: CONTACT EMAIL: AGREEMENT:T hereby certify that I have 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 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 ( Og/j L _ _- PERMIT# Owner/AutfiorizedAgent Signature Date . (Revised 10/12/2015)