My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
6623 EVERGREEN WAY UNION BANK 2018-10-12
>
Address Records
>
EVERGREEN WAY
>
6623
>
UNION BANK
>
6623 EVERGREEN WAY UNION BANK 2018-10-12
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
10/12/2018 2:33:09 PM
Creation date
5/23/2017 10:27:33 AM
Metadata
Fields
Template:
Address Document
Street Name
EVERGREEN WAY
Street Number
6623
Tenant Name
UNION BANK
Imported From Microfiche
No
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
46
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
ELECTRICAL PERMIT APPLICATION <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 I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 66, 3 E v <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: XKCOMMERCIAL <br /> USE OF BUILDING: m <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ //� <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES J<NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 9tAn(/ of �10() TOCK <br /> CONTACT INFORMATION <br /> OWNER NAME: h t 2)t" L2 n! TENANT NAME(if Commercial): <br /> OWNER MAILING ADDRESS: STREET 66/�2 /3 f/r v PQL1 q (Iy/`Ay <br /> CITY l�t/e.(� ez� STATE ,{y// ZIP &,2 <br /> OWNER PHONE: `t-1 s-6 — 5OWNER EMAIL: <br /> CONTRACTOR NAME: <br /> CONTRACTOR ADDRESS: STREET //'ZC 0-2 <br /> CITY /!/C t,L �� STATE ZIP <br /> CONTRACTOR PHONE: r <br /> Z t, CONTRACTOR EMAIL: <br /> ' <br /> CONTRACTOR LIC.#(REQUIRED): ' sr—``GL c� ` Cffl CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 6) 35 V <br /> PRIMARY CONTACT: ❑OWNER <CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: j ��' yl/(i'' 2 <br /> CONTACT EMAIL: P�'��C C�G �' L/iI��G �[� Z <br /> AGREEMENT.Thereby certify that/have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this <br /> 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 <br /> 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 <br /> comply with the State Contractors Law 98.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> PERMIT# <br /> Owner/Authorized Agent Signature Date (Revised 90/92/2095) <br />
The URL can be used to link to this page
Your browser does not support the video tag.