2332 BAKER AVE 2017-04-10 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION 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 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: `Z . (_'UC BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: ®SFR-DETACHED SFR-ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: El COMMERCIAL USE OF BUILDING: ELECTRIC411.APPLICATION INFORMATION CONTRACT PRICE OF WORK: �7 Z� NUMBER OF DEVICES if low vola e: FIRE ALARM? ❑YES NO ASSOCIATED BUILDING PERMIT# ' ble DESCRIPTION OF WORK: CONTACT INFORMATION OWNER NAME: Y t i' i TENANT NAME If Commercial): OWNER MAILING ADDRESS: STREET 7_4A ?_pp C-._tox CITY & lp; - STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: t C SL_ I ' t.-. L-Lo CONTRACTOR ADDRESS: STREET — CITY. STATE C. ZIP CONTRACTOR `l CONTRACTOR PHONE: 3 D I ICONTRACTOR EMAIL: t C'tt 0 CONTRACTOR LIC.#(REQUIREb):1D l C1(LE �6S CITY OF EVERETT BUSINESS LIC. 67 PRIMARY CONTACT: i1 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) t CONTACT NAME: CONTACT PHONE: ' { CONTACT EMAIL. syr r AGREEMENT.,1 hereby certify that t h e d and examined this application and know the same to rue and cWjm Alisions of laws and ordinances governing this type of work will be completed whether specjW specsherein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or focal 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 2961.200 WAC. 1�� S`�'`�t,>�..t,lX�- �- i.,L'rt"L'� 1�g''�,+lrv�,.94(-__GV•'' i 1 rdL City of Everett Official Use Only i —•--- PERMIT# O ner/Author zed Agent Signature Date (Revised 923/2016)