6411 BERKSHIRE DR 2017-04-10 - Laserfiche WebLink

. .ECTRICAL PERMIT AFO.ICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETi', WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E)everatteps@everathom.gov everathom.gov I wowmeverett+a.govlpermits PROJECT SITE INFORMATION PROJECT ADDRESS: All, BUILDING AREA of residential,Flew consouctimi,remodel,or additlon) SF BUILDING TYPE: 0 SFR•DETACHED SFR-ATTACHED LJQUPI EX [ MULTI-FAMILY-#QF UNITS: 0 COMMERCIAL USE OF BUILDING: d, ELECTRICAL APPLICATION INFORMATION : CONTRACT PRICE OF WORK,$ 3 Qq INUMBER OF DEVICES if low voltage): FIRE ALARM? cl YES (rNO ASSOCIATED BUILDING PERMIT# If applicable)., DESCRIPTION OF WORK., i I i I CONTACT INFORMATION OWNER NAME: :neJ1 TENANT`NAME if Cammerclal OWNER MAILING ADDRESS: STREE; c ;}a r IVIA ci r t STr'Tri Z. OWNER PHONE: - b- �►1 OWNER EMAIL: Cu-1 CONTRACTOR NAME: CONTRACTOR ADDRESS: smeT Z221 l f" OF( y} STATE FF ZIP } CONTRACTOR PHONE: 'Y'S = (,- CONTRACTOR EMAIL: CONTRACTOR LIC.#(REOURE�D) CITY tJF EVFRETT BUSINESS LIC.#REQUIRED: PRIMARY CONTACT: LY6tNNER 0 CONTRACTOR ©OTHER(Please Specify) CONTACT NAME: CONTACT PHONE; i s- (o r 3 'rr v 1 CONTACT EMAIL: CL �, wa t 3't`? 0.�i s 8 L�► AGREI=MEAW r horeb cert that F have read aed MaminE+d tests a pXV' roes of fawn aW OntinanceS 90MMt19 thta j 11 fJy ppiAG3lhiJ!and knrny the same to tA'1&liJ1tl Cf}1F8Gt. A8 fppo of�terk wd4 ba uom tad whether spaaYred hsrofrt or nor. 70to granting of a perms does not pramm4 to goo aurhorlty to vbtafe or cimml(ho pmu4Wmt of any other state x j focal raw ragdtatmp cortstrrr,Yion or Itst1 parlontsanc df canshtn-tinrr. That t am avthort ea by tha owner of tar's p,aapedy to pwfonn tho Wx*AV wh ch sppfioetion is made acrd! compry wtth the Stat&Con?racl=Law 1e.27 RCW and 20ra WO WAG Cdy of Everett oftictat Use Crt1y FEE � �(k it c'p- PERWT# Mj 'j EJ1 v 0 U, 'I 11A Owned t AAatnSignaturs Data (Rewsed tttlSM15)