Laserfiche WebLink
Dec 29 2016 03:58PM Bosch Electric Inc. 425-377-8977 page 2 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 J FAX 425-257-8857 j (E)everettepsCeverettwa.gov J www.everetiwa.gov/perntfits <br /> PROJECT ADDRESS: 12 0 q kvertL+ V V u' G 1 - <br /> . <br /> BUILDING AREA(it residential, new construction,remodel,or addition)) SF <br /> BUILDING TYPE ❑SFR-DETACHED 11 SFR-ATTACHED ❑ DUPLEX I]MULTI-FAMILY-#OF UNITS: COMMERCIAL <br /> USE()F Bl1ll-DING: <br /> CONTRACT PRICE OF WORK:$ q.7 p o <br /> NUMBER OF DEVICES If IOW volfia s ; <br /> FIRE ALARM? 11 YES ❑NO <br /> ASSOCIATED III_DING PERI181T#.Qj applicable): <br /> DESCRIPTION OF WORK: <br /> PONT J" <br /> oEFt NAll�l S TENANT NAME .if Commercial SG-,-y7 e, <br /> MAI UNG ADDRESS• STREET b CV 2�G t✓f Q v <br /> CrfY v!_. ` 6TATE L� ZP <br /> OWNER PHONEffm: L{�SF 33 `�!G �C OWNER EMAIL: <br /> CONTRACTOR NAME: Pose N CLI)RC lC <br /> CONTRACTORADDRESS: STREET PO �a <br /> UTY v elNn STATE UUA <br /> CONTRACTOR PHONE; 4 Zr gCONTRACTOR EMAIL: <br /> CONTRACTOR UG <br /> REQUIRED): ,� 93 CITY OF EVERFIT BUSINESS UC. UIRED: 9 77/ <br /> PRA9AKY CONTACT: ❑ aVYNER r'0kr ACTOR ❑OTHER(Please Spac9fy) <br /> CONTACT NAME;_ QQ CONTACT PHONE: L f��c�/ f <br /> CONTACT <br /> WL. <br /> �E SLS t'L C Cf <br /> Vic,I✓t c (rte t u k - C(lyy, <br /> AOEAlt?JV7 T ha+eby certfiy Chef I have read and axernfned this aPn end know 65o same In be here and aorrsat ATT <br /> of work t ba Cao wt wh d I h apenmd 7d&r or ng 7 s ppgcgw of a pentyt dose not pravlsiona Of Jam and=Wmnces govemfnp this <br /> keaa/lauv na�utetbty const ortha pe�l6rrnance of T""{! o authorized b the provuma to g"autho*fa vk wv ar cancel via pmWakne of any other atada or <br /> co►trp(y wrfh the SYafe Ccvrbaotors!ew i9 27 RCW end 28eR2a0 WAC. Y otimar ofb*ProPadY in perm the%'M*fOr wh/ah <br /> QPPftadan T8 mads and/ <br /> Y of EwwoU Of kiel U"Only <br /> FEE <br /> � (Os -IS0 <br /> PERMIT# <br /> 4chfteclmd Agent 89gnahurb Data <br /> (Revlsed 7W2&01b? <br />