7425 HARDESON RD TERCRISCA SALON 2017-05-24

ECTRICAL PERMIT AF _ICATION 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 SIITE INFORMATION PROJECT ADDRESS: -747-S'_ BUILDING AREA(if residential, new construction, remodel, or additior) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES if low volta e FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK: i/1�' �; CONTACT' INFORMATION OWNER NAME: -Te �l I (` TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY e�i r STATE 3' A_ ZIP OWNER PHONE: r OWNER EMAIL: CONTRACTOR NAME: ��C b'� J _/Ans- CONTRACTOR ADDRESS: STREET —7 CITY ` wY'� STATE ( ZIP / CONTRACTOR PHONE: !i CONTRACTOR EMAIL: ' CONTRACTOR LIC.#(REQUIRED): S CITY OF EVERETT BUSINESS LIC.#(REQUIRED): Z`'[ PRIMARY CONTACT: ❑OWNER 13'SiiNTRACTOR ❑OTHER(Please Specify) CONTACT NAME: (� CONTACT PHONE: f 'tom CONTACT EMAIL: L AGREEMENT:Thereby certify that 1 have read and examined this application and kiow the same to be true and correct. All provisiond of 1 s and orck4ances 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 authcrized 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 FEE PERMIT# !i E i v / 6�z Owne*4po46 Ag.XSignature Date (Revised 10/12/2015) I