108 76TH ST SW 2017-03-13 - Laserfiche WebLink

4rErr LLECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: ! D v 7 Vol ( f-..3 _,J BUILDING AREA(f residents- , new construction, remodel, or addition) ''.-' (®C.30 _ SF BUILDING TYPESFR-DETACHED ❑ SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: 73—r Ex( -1 I►4(� -- ADD tom Ci► D t• 1 ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 4 3s00 — NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YESNO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: lavW%j 1-i 5r12—. CONTACT INFORMATION OWNER NAME: J`&FF L_u(.jNS TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET Sfl CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: 'STS-12.-(_j 1 Cr EL(21 fa.t C. � (r4 C s CONTRACTOR ADDRESS: STREET I 9317 1 cam:t1 ,d&.J O • CITY \,1YD(N/(1—i---6 STATE wk. ZIP 9S O l CONTRACTOR PHONE:Z •.R 9 3 415L CONTRACTOR EMAIL: -51r'EZLI.6 L.--69-cr L rl+ ger C-Orh CONTRACTOR LIC.#(REQUIRED): —�-1-I .LF(3C-(S .,.ti CITY OF EVERETT BUSINESS LIC.#(REQUIRED): Oi 9 9 C), PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: •30641--: P ti CONTACT EMAIL: 'j-`E�LIEL- �'r-Ott ler- 0)leveN 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# c—T-4 1)st_ _--- 2.471(0 E \. &()Ct, -Vjg Owner/Authorized Agent Sign e 1 9 9 Date (Revised 10/12/2015)