3014 HOYT AVE SEACOM 2017-06-20 - Laserfiche WebLink

ELECTRICAL PERMIT aG F LICA ION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 FAX 425-257-8857 j (E) everetteps@everettwa.gov www.everettwa.gov/permits (PROJECT SITE INFORMATI®N` PROJECT ADDRESS: - C 0&/ C BUILDING AREA(if residential, new construction,remodel,or addition), :3 _SF BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS: 91-60-MMERCIAL USE OF BUILDING: (�� 1 © l Com- > �Ct:o C, LECTRICAL APPLICATION INIFORMATION CONTRACT PRICE OF WORK.j$'- pop o� NUMBER OF DEVICES (if low Itage): FIRE ALARM? ❑YES ASSOCIATED BUILDING PERMIT##(if applicable): r DESCRIPTION OFWORK: _ 2 (STIV �� ( "2.�C� G, Ll/ CONTACT INFORMATION, - OWNER NAME: . S ENANT NAME(if Commercial): OWNER MAILING ADDRESS: STREET go,/C C� <t L u 2 CITY �J`�L ,— STATE CC ZIP OWNER PHONE: 7 Z S�J��` O Z � OWNER EMAIL: lf CONTRACTOR NAME: C/c�- L' �'t< r CONTRACTOR ADDRESS: STREET CITY ((yy`pSTATE _ ZIP CONTRACTOR PHONE: G �S� CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVER TT BUSINESS LIC.#(REQ RED): PRIMARY CONTACT: E!OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: Ci/5 Ae CONTACT EMAIL: AGREEMENT Thereby certify that/ha read and examined this application and know the same to be tWe and correct. All provisions of laws and ordinances governing this type of work will be completed whether specMed herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and/ comply with the State Contractors Law 98.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE ' � • SO �1 PERMIT# Illll OwnerlAuthorized A nt Sign, hao (Revised 90/92/2095)