2701 HOYT AVE 2017-06-07 - Laserfiche WebLink

LECTRICAL PERMIT OPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425•-257-8810 FAX 425-257-8857 ] (E) everefteps@everettwa.gov www.evereftwa.gov/permits Ply®' E�'A' PROJECT ADDRESS: BUILDING AREA(if residential, new construction,remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED ❑SFR ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: COMMERCfAL USE OF BUILDING: 1ELEC7'�tIC�H� �PPLI.C- A,'9IO 13�1F®l}�11t1�T9�Y� [NUMBER ONTRACT PRICE OF WORK:$ �U U OF DEVICES (if low voltage), FIRE ALARM? ❑YES NO ASSOCIATED BUILDING PERMIT#(if applicable): l DESCRIPTION OF WORK: lee o le, c e— J ` ,�'' i -... : - _COI!ITACT�IhIFORMATION:.•.. ,,� ;-` , GINNER NAMi=:`• ,.—'k TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE zP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:CONTRACTOR ADDRESS: STREET CITY ��06 :lJ STATE 7JP3 a Z-3 CONTRACTOR PHONE:Z,&&- 7-0CONTRACTOR EMAIL:� L Q;'S ? ICS L I<l�C vfiir�c �,u ► '1 CONTRACTOR LIC,#(REQUIRED. g CITY OF EVERETT BUSINESS LIC,#(REQUIRED):(3 S PRIMARY CONTACT:x ❑ OWNER J21 CONTRACTOR ❑OTHER(Please Specify) CONT CT NAME: CONTACT PHONE: _ 2_0 % � /►�►�� CONTACT EMAIL: AGREEMENT. Thereby certifythat I have read and examined this application and know the same to be tru and correct All 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 forwhich application is made and I comply with the State Contractors Law 96.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE z/'z so PERMIT# E I�Gq -/off owner/Authorized Agent Signature Date (Revised 90/92/2095)