3814 HOYT AVE 2017-06-20 - Laserfiche WebLink

FEECTRICAL PERMIT AP CATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE" INFORMATION PROJECT ADDRESS: 3�� "1 /\Ve IM V6* I V )P\ O (�2-0 BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED IFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: sl 'Q ��/1VY�l VAtyyw, ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ �5()O NUMBER OF DEVICES if low voltage): FIRE ALARM? ❑YES 4d NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: �Q PaJ V i n -Nre noum a r n'p, W 20 GL CAVt a,I4'P-h CONTACT INFORMATION OWNER NAME:�A M TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET t 1�fv� 1 n CITY 1 U 1� STATE ZIP V LJ I OWNER PHONE:(,,�"L�ul,�CJ�J -� �nn OWNER EMAIL: N I� CONTRACTOR NAME: I V\ �-�Gf �1 C tt/I/l D"n (\ V/V( CONTRACTOR ADDRESS: STREET//yyIFj3O( �(�Q/�/�V{I/� ,^//� n CITY Lot 1%: ' J 1�/ i 1 ' `STATE V"r 1 c� b ` ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: e4p T/Vc, �n'M L CONTRACTOR LIC.#(REQUIRED): tJ S� �JZ C� CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR OTHER(Please Specify) i� CONTACT NAME: CONTACT PHONE: 1f�Xn/ CONTACT EMAIL: C Gt) AGREEMENT:I hereby ce ify that/have read and examined this application and know the same to be true and orrect. All provi ' ns of laws nd ordinances governing this type of work will be completed whether specified 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/am authorized by the owner of this property to perform the work for which application is made and/ comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only / PERMIT# ateOwner/A (Revised 9/23/2016)