2618 WALNUT ST 2017-03-13 - Laserfiche WebLink

"LECTRICAL PER Ll-LUUC TION . rr CITY OF EVERETT PERMIT ICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 ] (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS`y1(J } ()JC V'1 u-\. � ) BUILDING AREA(if residential, new construction, emod or addition) 1!"" ---'% BUILDING TYPE: CPi(SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ C LP Q v NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES _ergo ASSOCIATED BUILDING PERMIT#(if applicable): p DESCRIPTION OF WORK: d I ti-' c CONTACT INFORMATION ()INNER NAME: — � t 1 0 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET Flo) 8 Gu 1 vt „ ciTY t-) STATE(r 1/ ZIP C7(67) OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: C j ( {- ' E CA-17 le CONTRACTOR ADDRESS: STREET 6 CITY 1,7-1V\ h t �� STATE �) �J ZIP CONTRACTOR PHONE: 1 r 7j- j�--nbONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED) CC., ";� CITY OF EVERETT BUSINESS LIC #(REQUIRED)66-1a, PRIMARY CONTACT: 0 OWNER CONTRACTOR rRO`fHER(Please Specify) CONTACT CONTACT PHONE: - ( e,3-- c 1 is i lh 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 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 Ur/ PERMIT# • Owner/Authorize, Agert Signature Date (Revised 10/12/2015)