2729 104TH PL SE 2017-06-07 - Laserfiche WebLink

03/14/2016 MON 15: 48 PAX 4252521666 CM Heating 0002/002 ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES OL 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) eve rettepS@everet(W3,90v I wvvw.everettwa.gov/permits p 040CT SIDE INFgRMYON" . PROJECT ADDRES8; t U)I— BUILDING AREA If residential, new constructlon,rernodel,or addition) SF BUILDING TYPE; ❑ SFR-DETACHED SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL [U.8 OF BUILDING: ; '-eL GTR�CdL �AW��'� A'-06N,rF�FORMATIbN';,.. CONTRACT PRICE OF WORK; $ 7� NUMBER OF DEVICES If low voltage): 1 FIRE ALARM? ❑YES ONO ASSOCIATED BUILDING PERMIT# if applicable), DESCRIPTION OF WORK; TcSi-ft-L CON TACT,INFORMATION OWNER NAME: TENANT NAME If Commercial OWNER MAILING ADDRESS: smEer /C( Cqe (� CITY BTATC OWNER PHONE: V OWNER EMAIL: CONTRACTOR NAME: CONTRACTOR ADDRESS' STREET rr� -- ll ciTY STATE WH ZIP CONTRACTOR PHONE; ( CONTRACTOR EMAIL:'FrIC E L" u0jaihsah hc,co CONTRACTOR LIC.is REQUIRED : CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑OWNER ONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: yy� ^ CONTACT PHONE: (W-kd J r , C I I �j ICONTACT EMAIL: AGREEMENT;T hereby certify that I have read and examinod this application and know the same to be True and correct. All provlslons of taws and (nancos governing this type or work will be comp/sled whethor spacired herein or not. The granting of a permlt does not presume to give authority to vlo/ale or canto)ma p(ovlslons of any other state or local law raguletlr)g con8lruCtlon Or fhe penv.mance or constructlon. That 1 am authol/zed by the owner of this property to perform the work for which appllcatlon Is made and I comply with the State Contractors Lew 18.27 RCW and 296.200 WAC. C(ty of Everett Offtcla/Use Only FEE )600 PERMIT#1 IL4 Le E Owner/Authvrhed Agent 8lgnatur� Data (Revised 10/12/2015)