3816 HOYT AVE 2017-06-13 - Laserfiche WebLink

Nov 15 16 10:55a Accomplish Electric, 360-863-6511 p.2 ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES OOL 3240 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8610 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: BUILDING AREA(if residential,new construction, remodel,or addition) ✓�l.�r`jQ2kA S �;'--c) c ^ BUILDING TYPE! KSFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑ MULTI-FAMIL -#OF UNITS: ❑COMMERCIAL USE OF BUILDING: CTRICAL PPIJCATION INFORMATION CONTRACT PRICE OF WORK: $ U-00' NUMBER OF DEVICES if low volta e : 3 FIRE ALARM? ❑YES O ASSOCIATED BUILDING PERMIT# if applicable). DESCRIPTION OF WORK: — r,7 CONTACT INFORMATION OWNER NAME: TENANT NAME if Commercial); OWNER MAILING ADDRESS: STREET crryFyo'r.�77Vr STATE i ZIP ri� OWNER PHONE: �0 OWNER EMAIL: CONTRACTORNAME: , CONTRACTOR ADDRESS: CfTY zip CONTRACTOR PHONE: - CONTRACTOR EMAIL: r —, 1 G ; 1��-a�iS' `i:` r'\r •.a�'� CONTRACTOR LIC,#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRE PRIMARY CONTACT: ❑ OWNER CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 5 2�,ls� - `I J�JJ�('1 �.:C7E7 CONTACT EMAIL: AGREEMENT.,I hereby certify that J have read and examined this applcation and kno wthe same to be tine and correct. A#provisions of laws and ordinances governing this type of vork will be completed whether specified herein or not. The granting of a pemNt does not presume to give authority to violate or cancel the provisions of any other state or local law reguJa6'ng construcUon or the performance ofconstnxlion. That I em authorized by the otwier of this property tc pe?f rm the mtk for w4rirh application is made and 1 comply with the State Contractors Law 18.27RCW and 286.200 WAC. City of Everett Officief Use Only PPEERMITr# OwnariAuthorizoA n ignatureDate I (Revised 923/2016)