5016 HARBOR LN 2017-03-02 - Laserfiche WebLink

• 5, , 01ETT ELECTRICAL PERMIT APPLICATI� D CITY OF EVERETT PERMIT SERVICES fiQittik 8 20 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/errr fts") ''J? ks PROJECT SITE KL,--Noor- `j INFORMATION S PROJECT ADDRESS: 50` KL,--Noor- � A4- t �j !, '(6-1-C13 BUILDING AREA(ifdential, new construction,remodel,or addition) Ct"7',.G 'v44%i\ SF BUILDING TYPE: SFR-DETACHED WR-ATTACHED DUPLEX AULTI-FAMILY-#OF UNITS: :OMMERCIAL USE OF BUILDING: ECTRIC L APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ / ` � 61C) / NUMBER OF DEVICES(if low volta!e : FIRE ALARM? (ES AO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: L� �Cu_.�E 1/ i t`�-C1 c&9O�c fct�1 e-1 .J 1 vbQ,c ai cv., e-\ ) \'t�\c.G �1 c� F`P_ e Gt�S`] t�9 �W�-Ea�'j Cd'PW Ck001•• + c -e�- z r ? r�) A cu.c a w rele,5,5 -k o: c e l J 1 .,r \ t,n r � �C.�".r-A. v- CONTACT INFORMATION OWNER NAME: V. 4.1C.„\A t G_- ) I ,N\ TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET )C. t b \ v o Pvte_ CITY 4L .t k STATE W( ZIP L 10 3 OWNER PHONE:C1\ Z.-1-:)) -3L}9 - O0 -rj OWNER EMAIL: CONTRACTOR NAME:Washington Alarm Inc CONTRACTOR ADDRESS: STREET2030 Airport Way S CITYSeattle STATE WA ZIP 98134 CONTRACTOR PHONE:206-328-1800 CONTRACTOR EMAIL:install@washingtonalarm.com CONTRACTOR LIC.#(REQUIRED):WASHIAI282C3 CITY OF EVERETT BUSINESS LIC.#(REQUIR ):025389 PRIMARY CONTACT: DWNER CONTRACTOR ✓DTHER(Please Specify) Permit Coordinator CONTACT NAME: CONTACT PHONE:206-436-5301 Manny O rn e l a S CONTACT EMAIL:permits@washingtonalarm.com 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 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 PERMIT# Af (3i ( E �� c Owner/A ed Agent Signature Date (Revised 10/12/2015)