710 47TH ST SE 2017-03-10 - Laserfiche WebLink

"IPPPAI,74 ELECTRICAL PERMIT MPPLIC,A TION Niiiiwi --.- CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov] www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1 I 0 L ) ' .Si S C.; BUILDING AREA(if residential, new construction, remodel, or addition) _SF BUILDING TYPE: 2 SFR-DETACHED © SFR-ATTACHED El DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: R42_5.A.4.-1\--\-1/40, \ � ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ a0 p. p7 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES 12rNO ASSOCIATED BUILDING PERMIT#(if applicable): , t // J DESCRIPTION�OF WORK: F.�('✓\O,r�. C�,�c c ....„-1/4- ',Li 14,-- 1'n t%^c..‘ CONTACT INFORMATION OWNER NAME: Cr,r t r✓�. S+k 1 1 ✓) TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 7 I 0 97 ' S 1 S E CITY t j-re-"TT STATE W'/1- ZIP 9 ?o 3 OWNER PHONE: 9 S 3D$ a 1 ei 7D OWNER EMAIL: CONTRACTOR NAME: L\\},,..ria e ,or LLC, CONTRACTOR ADDRESS: STREET 3(,III t,� C \� A---j —•3 \1 J��} \ CITY Ir e- 'r1- STATE W 1 1 ZIP 9110 0) CONTRACTOR PHONE:1- S )5 01 ),S 1 Y, CONTRACTOR EMAIL: LA \ -6 w -- p 0,-,3.--1- . c7 I,J 140,4'1 CONTRACTOR LIC #(REQUIRED) (,ICT wp 'h ' 3 v%l ,_ CITY OF EVERETT LI BUSINESS C #(REQUIRED) q JM 1 PRIMARY CONTACT: E OWNER 0 CONTRACTOR 0 OTHER(Please Specify) • CONTACT NAME: 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 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 296200 WAC. City of Everett Official Use Only FEE 415—, � PERMIIT^# c �, , 3I1 b E 1U l, V 6 Owner/Author ed Agent Signature Date (Revised 10/12/2015)