Laserfiche WebLink
ECTRICAL PERMIT APF LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 1 (E) everetteps@everettwa.gov www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: '7)G' ) AlkliI <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 19 COMMERCIAL <br /> USE OF BUILDING: l 'r <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ <br /> NUMBER OF DEVICES(if low voltage).:----,-/--- <br /> FIRE ALARM? ❑YES [3 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME(If Commercial): T <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: kgGC -r�� } <br /> 1('rc <br /> CONTRACTOR ADDRESS: STREET <�C- (lr'A <br /> CITY STATE 610 ZIP - <br /> CONTRACTOR PHONE: os '3 V-7-76 6)1" 1CONTRACTOR EMAI': 11(Ci:e�_iL('Cv 14 Ne>vey✓`r. C c+:y <br /> CONTRACTOR LIC.#(REQUIRED):/Vcw I c c4j / (. _S L CI QF EVERETT BUSINESS LIC.#(REQUIRED): 03 M36 <br /> PRIMARY CONTACT: ❑OWNER gkCONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: <br /> CONTACT EMAIL: fi-11= <br />