6200 23RD DR W TEAGUE 2017-04-10

,----„,-.-paw ELECT RICAL PERMIT IN PU `V�A l4 IOW r T CITY OF EVERETT PERM RVICES �' � 3200 CEDAR STREET, EVERETT, WA 98201 (P)425•-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov 1 www.everettwa.gov/permits r.7-:r...,:-...--..:;;.;..-:z:f;:,-vblyedir •1�: -mF g, PROJECT ADDRESS: (p ri•-0 O o�3`-`A Df L C. U)e_5 4- BUILDING AREA(if residential,new construction,remodel,or addition) `"t O O SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: )COMMERCIAL USE OF BUILDING: AL. w k o — is...:_':.+....:✓_....-v-:., :. :-.:-::.*..::,..F.: ....-i _Ac .:4. _ :!. •!;;...'Y. lr. CONTRACT PRICE OF WORK:$ A S (-'( 0 o • NUMBER OF DEVICES (if low voltage): • FIRE ALARM? 0 YES El NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION-OF WORK: p e,,o / ilAti.k-c se.....-cd- ��c L 4-, Elee k•f< c --1 , . .-.sc. �EO�NlA'TIOIN ONTACT�L. ... ..._R -- : .:- 49VNER NAMIr • . �Qom.. Vic= 7 . TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET U 0 00 3 " 4 (-3-r,bri__ CJ e 5 4- V c_, e k CITY (A) A _ STATE ZIP OWNERPHONE: .. y._w..,,.._.....Y...--.....v ,....OWNEREMAIL .. ..._......,._., . . . ...........,�_.. _. _ .z.,_ . .._...... __..-..._...,.,..-._.. CONTRACTOR NAME: s`l u o ycu� E l e_c-Jtv'L c- - CONTRACTOR ADDRESS: b i rrEEr ` / 5- 1 3 S /t 6" ' 1) Y` -f S ee `^^.r'w G CITY f�f A STATE ZIP /( O S -. CONTRACTOR PHONE: 4 2! 214-Ga o0 CONTRACTOR EMAIL: cSa_r y, - I l VI"CA-.. S e c-f c. . L . CONTRACTOR LIC.,#(REQUIRED): 5 e 62 U.0 L.S C.9 7 7 5 `) CITY OF EVERETT BUSINESS LIC.#(REQUIRED): yU G Le 5- PRIMARY CONTACT:m ❑OWNER 0 CONTRACTOR El OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: Li a a a C_- S`'( 3 p� re U1 v1 C f, G""ell.)--c_. r CONTACT EMAIL: V tint Iw c_lw,.. k Q se, LA,Cy G fr.,- 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 • I ( ( . 00 PERMIT# Owner/ orized Agent Signature Date (Revised 10/12/2015)