2420 38TH ST 2017-03-10 - Laserfiche WebLink

z,,/ ,0?:.....-a. ELECTRICAL PERMIT APPLICATION +/�' ,,- CITY OFEVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps everettwa,gov I v,rww_everettwagov/permits PROJECT SITE INFORMATION ti PROJECT ADDRESS: 2`[20 a . 3€"G- Sit-. its `�_.{ 57- BUILDING AREA(if residential.new c. . uction. remodel,or addit r t SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: COMMERCIAL USE OF BUILDING: 7\ rc e_.S ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 15-0,) NUMBER OF DEVICES(if low voltage): ' 3 FIRE ALARM? 0 YES ONO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: A I- -- ,_ c:`Icon ' ...it d'a%;' \t k [p c .; / 4?AIT INFORMATION OWNER NAME: TENANT NAME(If Commercial): 4„-1-e_ isjeatijlek,v-j OWNER MAILING ADDRESS: STREET g6. 2{ ' ?— F0tot,.kr p}2OJg cm „j"" ,.,j .t i STATE IA) gy0 21P `l3 OWNER PHONE: '/?5 "3 I/3- g 1 22_ OWNER EMAIL: CONTRACTOR NAME: EC,-,.y V I CAN) tl et.+1Th'L_ CONTRACTOR ADDRESS: STREET To s p , CITY V( t;AO/15" STATE Lill' lig 4 J CONTRACTOR PHONE: 84p -' �}7- 03"3 j CONTRACTOR EMAIL: 't-e,( \f„ letC,. -;L. rUL, . CONTRACTOR LIC.#(REQUIRED): ye/1 e_#15e CITY OF EVERETT BUSINESS LIC.#(REQUIRED}; 05'1124 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 3 to 0- ?-0 — g.-3 E- cokx:'1, /cc, 0„.,1 `_ .f— CONTACT EMAIL: " „ `G .., j fb'v`e_ iG sG _ tj L' It` 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 SO ` PERMIT# ►fJJf 'A-c)-c) te . E l/\/j�� 3 VI?", V !w'erlAut 'I rized Agent Signature Date (Revised 10/12/2015)