5829 S 2ND AVE 2017-06-07 - Laserfiche WebLink

r-L-ECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS. BUILDING AREA(if residential,new construction,remodel, or addition) SF [BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX C1 MULTI-FAMILY-#OF UNITS: C3 COMMERCIAL IUSE OF BUILDING: ELECTRICAL APPLICATION INFORMATION ............... CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES if low voltage): FIRE ALARM? 0 YES YNO ASSOCIATED BUILDING PERMIT# if apbficableL. DESCRIPTION OF WORK: S CONTACT INFORMATION OWNER NAME: TENANT NAME(If.Commercial): OWNER MAILING ADDRESS: STREET crry SATE 710 OWNER PHONE: L//q JOWNER EMAIL: CONTRACTOR NAME: /--/ ( - 'C'fg_4 Iflag� — CONTRACTOR ADDRESS: STREET 1D t 0q CITY - I ell e�f STATE zip eWo('e�;' CONTRACTOR PHONE:, t9�Z 1CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT �2 BUSINESS LIC.#VEQU14 ): PRIMARY CONTACT: 11 OWNER �WCONTRACTOR [I OTHER(Please Specify) CONTACT N : CONTACT PHONE: AM - 7 CONTACT EMAIL: AGREEMENT T hereby certify that i have read and examined this application and know the same to be true and correct. All provisions 01 laws and or&nancoS govomi g this iodheruinarnot. The granting of a permit does not presume to give authority to violate or cancel the provisions of any otherstate or type of w"will be completed whether specif n focal law vgiulating construction or tho performance of construction, That I am authorized by the owner of this property to perform the work tar which application is made and i c0l"PtY With the State Contractors Law Is 27 RCW and 296.200 WAC. City of Everett Ciffictaf Use Owy FEE PERMIT# IT, E ( cc D-7 -6 -37 Owner/Authorize ent',Signature Date (Revisod 10/12/2015)