3310 FEDERAL AVE 2017-04-11 - Laserfiche WebLink

tLECTRICAL 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 I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 3310 190C /9.. 4?8 ZO r BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED CR SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: IfFes i0jC^jC1d_' ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ v S o 0 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK: ,� Ct, — p / -✓� �LLGiYI—?/}� CONTACT INFORMATION OWNER NAME: / ' TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP Zo OWNER PHONE: ZO OWNER EMAIL: e CONTRACTOR NAME: C�Q aAr- L-V -4Kjc . CONTRACTOR ADDRESS: STREET 12 D CITY STATE J j9 ZIP D J Z CONTRACTOR PHONE: qF 3 - 0333 CONTRACTOR EMAIL: e `MC CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): of 74> PRIMARY CONTACT: ❑ OWNER IRCONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: =MAIL: HONE: �6� 3 _ ea 71M YdglL AGREEMENT:I hereby certify that/have read and examined this application and know the same to be true and correct. Alt 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 PERMIT# rz zz i� E 7o Owner/Authorized Agenf Sig ture Date (Revised 9/23/2016)