3331 HOYT AVE 2017-06-13 - Laserfiche WebLink

06/09/2016 2 : 58PM FAX 425 489 7996 Horne Run Electric LLC 20002/0002 ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 9&201 (P)425-257-8810 FAX 425-257-8857 (Em)everetteps@everettwa.gov www.everettwa.gov/permits PROJECT ADDRESS: BUILDING AREA(If rasidantlal,new cons(rur, o nl0 81 r addlllon) r SF BUILDING TYPE: M SFR-DETACHED SHR-ATTACHEI) ❑ DUPLEX L] MULTIFAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING; _ EI E �RI�Ar. 1PA41 /� I IalriN Q M(AT10N CONTRACT PRICE OF WORK: $� NUMBER OF DEVIOES if low voltage): FIRE ALARM? Ll YES LJ NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: �oIs1TAG�' INtd(Ft1VIgTInN OWNER NAME TENANT NAME If Commercial : OWNER MAILING ADD SS: 1 - STATE OWNER PHONE: OWNER EMAII-; CONTRACTOR NAME: CONTRACTOR ADDRESS: 5t0 CI STATE U CONTRACTOR PHONE: CONTRACTOR EMAI `cry CONTRACTOR LIC.#REQUIRED: �'l`n CITY OF EVERETT BUSINESS LIC.#REQUIRED; Liwlci PRIMARY CONTACT' ❑OWNERONTRACTOR ❑ OTHER(PIAgAe Specify) CONT CT NAME: CONTACT PHONE: qVi a c6_ S ,�11CONTACT EMAIL: AGREEMENT'T hereby certify that/have read and examined this app/!cellon and know the same to be true and correct, All provisions of laws and ordinances governing this typo of work wllf bo complolod wholhor spoclllod horoln or not, 777o f31��nl/ng o(a penult dons no!presumo to ulvo augtalty to vlo/alo or cancel Ute provlslotts o!any otilor slalc or local law regulating construction or the performance of constructlon. ?'het I em Buthorked by the owner of this property to perform the work for which epplfcaifon is made and I comply with the Stale Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE PERMI-r 9 � -� E 2 0 w rlAuthorized ®ant Signature ata (Rovlsod 10/12/2015)