1427 100TH ST SW 100 2017-06-05 - Laserfiche WebLink

'LECTR C,1.IL PERMIT ' I CATIION 1✓ CITY OF EVERETT PERMIT 91.VICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov] www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 14Z I- /fN 6 r .6iO s# /C BUILDING AREA(if residential, new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: /'Y!veil L-&-- / ; p►�i ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 5-00 oa NUMBER OF DEVICES (if low voltage); FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: ill v'ib [. " /�UrvlG /C '�'L— CONT ACT,INF:ORMATION: , - OWNER NAME;!; / irt,MAI :E157147.5 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET J4ZI- /c Ii 5 r 6") /z9 CITY EUOter " OCTXF STATE 14)/44 ZIP 9SZe`- OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: 6,70 n.liTE / G-TYLiG rn.)(— CONTRACTOR ADDRESS: STREET Po 69, 2 get) CITY STATE 14,4' L ZIP 9 Z/3 CONTRACTOR PHONE: 4.26- 267- ` 43 �.4 CONTRACTOR EMAIL: 9"11/ elE'GI-7'/LFJ e 901cti/.6004/1 CONTRACTOR LIC.#(REQUIRED): &ve/Yl/G I Z &L- 6`ry% CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 614(1/(4, PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: .j� CONTACT PHONE: 426- 330 —/SSO &lour iIt772dZl s CONTACT EMAIL: 5 41-i-w at 5 c -eo0 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 t 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 RCWand 296.200 WAC. City of Everett Official Use Only FEE / PERMIT* il-*/#4 31-09 ---/(2 E W005- \-721 Owner/Authorized Agent Signature Date (Revised 10/12/2015)