3420 BELL AVE 2017-06-20 - Laserfiche WebLink

08/05/2017 08 : 39 #2239 P. 001/001 ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PFRMIT SERVICES OL 3200 CEDAR STREET, EVERETT, WA 98201 (P)425257-8810 1 FAX 425-257-8857 E (E) everetteps@everettwa.gov www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 13 Lit— BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED Q SFR-ATTACHED Q QUPI-1=X G] MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: ELECTRICAL:APPLICATION.INFORMATION CONTRACT PRICE OF WORK: $ 0,ou ' NUMBER OF DEVICES if low voltage): FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTI N OF WORK: r E � —JS GD -. �� a v 'M/U x IAI-<T-A CONTACT INFORMATION OWNER NAME: s k03 J_AAA Xf TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET Q L. CITYSTATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: CONTRACTOR ADDRESS: STRr rl 3 CIT! STATE ZIF CONTRACTOR PHONF: 2f CONTRACTOR EMAIL_: CONTRACTOR LIC. (REQUIRED): 2LCITY OF EVERETT BUSINESS LIC.#I!REQUIRED1x4� PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR Z OTHER(Please Specify) CONTACT NAME: k/ CONTACT PHONE: J ,z CQ "VS CONTACT EMAIL: AGREEMENT.I hereby cartify that I have read and examined this application and know the same to be true and cormct. All provlslons of laws and ordinances governing this type of work wN bs compistad whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions orany other state or local law regulating construction or tha performance or construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply wlth the State Contractors Law 18,27 RCW and 296,200 WAC. 7_5`� City of Everett Official Uso Only PERMIT# 7od horized Agent Signature Date (Revised 9/23/2076)