1712 HOYT AVE 2017-06-13 - Laserfiche WebLink

03/03/2017 13 : 43 #1783 P. 001/001 ELECTRICAL PERMIT APPLICATION OL CITY OF EVERETT PERMIT SERVICES 3200 CEIDAR STREET, EVERETT, WA 95201 (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa-90v www everettwa.gov/permits PROJECT ADDRESS: BUILDING ARI--A 0f residential,new construction,remodel,or addition) SF BUILDING TYPE: [I SPR-DETACHED El SFR-ATTACHED J TDUPLEX M MUI-TI-1=AMlLY-#OP UNITS: ❑COMMERCIAL USE OF 13UILD[NG: LEL'T�tIfCAL+ d004. 00 I�+I�QRINATIO>r� CONTRACT PRICE OF WORK:$ ' O NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES q NO ASSOCIATED BUILDING PERMIT (if a Ilcable DESCRIPTION OF WORK: U L OWNER NAME: K O TENANT NAME(If Commercial): OWNER MAILING ADDRESS: 67Ms r CnY STA 71P OWNER PHONE: t/lOWNER FMAIL: r CONTRACTOR NAME: r CONTRACTOR ADDRESS: sTRE r Pr O CITY 6TA'1'!= 'P CONTRACTOR PHONE: 144 - yC�ONTRACTOR EMAIL: �s CONTRACTOR LIC,#(REQUIRI=A): �7yAJ S� V.2 U CITY OF EVER>;TT UUSINESS LCC.#{R>=4UIRl=D)_ PRIMARY CONTACT. Q OWNER Q CONTRACTOR Q OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: AGM=MEDT:Thereby cerW that 1 have read and eramlned this appllcatlon and know the same to be true and correct. All provislons of laws and ordinances govaming this type of work willbe completed whether specified heroln or not rhe granting ora perm#dons not presume to give authority to vlolate or cancel ma provisions of any other state or local lawrogulating construction or the performance of construction. That/am authon¢sd by the owner of this property to perform the work for which application Is made and/ comply with the Stats Contractors Law 98.27 RCW and las 200 WAC, City of Everett Offi�clal Uzo Only FEE PERMIT# E �r SCS Ownsorized Agent Signature a (Revised 9011212015)