825 88TH PL SW 2017-03-13 - Laserfiche WebLink

e A -CTI ICAL PE!MIT .'PF CATION �►' --. CITY OF EVERETT PERMIT SERVICES 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 • PROJECT SITE INFORMATION PROJECT ADDRESS: R,2 S gg Th La S w vQ Ac' 'ft `L"-i 9 0 BUILDING AREA(if residential, new construction, remodel, or addition) /.`� 0 0 may/ SF BUILDING TYPE:, SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Pc r,s u A G / ,'e/,,S t ci C Aic" ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ SO, I 0 NUMBER OF DEVICES (if low voltage):, FIRE ALARM? 0 YES L'� NO ASSOCIATED BUILDING PERMIT# (if applicable): sJ DESCRIPTION OF �" L-, WORK:—j /j/ a. p' ��j j v� � e.I ci c- t ', Ca ( a t/a l v d oIt vC�.r-� r I / I c� ;.�v�c,�i4.1 O-: /• v- I ✓01 ✓0,i4 to .1[. 1 . m r'i CJ v vi j/�-SCJ//..S _c C ✓cl Com" .rte /e f- !' GCt 0 LA- t _ % . tf t v a /�' f w, 1 U 0 • l� P�. / • o r ,� t~- ,,� de/ b U n , .�y s h V a - 14.4v CONTACT INFORMATION q1 OWNER NAME: 1-ifo (G rt ! AI TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET E 2_Ls g LA, )�j 7 CITY /✓Ci tc1 STATE t' A ZIP CI C/f'°4 ... -7 OWNER EMAIL: c.� fr . / a :a 1 C��"� �l(vt ,44.4, /.e'04 OWNER PHONE: N�S ' 7� / '" 3� 3 �,... ...:... ._ . _ .... _. .. _ .... . . . . ..._y CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED) PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: - S- 73 7 V,3,2. 3 1 (Dy CU✓tfi!'1 ! CONTACT EMAIL:�� IGC, ' ,t1-616,0vt, �'(6 c�vvtl r�� Lo I1.7 AGREEMEfVT:T hereby certify that I have read and examined this application and know the same to be true andlorrect. 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 41,15 00 PERMIT# E \ ,r) 0 1/- Owner/A orized Agent Signature Dater/ (Revised 10/12/2015)