Laserfiche WebLink
02/01/2017 10 : 22 #1671 P. 002/002 <br /> E CTRICAL PERMIT APPIWATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> OOL 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www_everettwa.gov/permits <br /> PROJCCT SITE INFORMATION <br /> PROJECT ADDR!"SS: O/ /YJ D ue ,r <br /> RUILDING AREA(if residential,new cora&uction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACH!=D ©SFR-ATTACHED ❑ DUPLEX M MULTE-FAMILY-#OF UNITS: El COMMERCIAL <br /> USE OF BUH-VING: t'el r XA444,_4— ff2 <br /> F="RICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK. $ c D <br /> NUMBER OF DEVICES if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCtATED BUILDING PERMIT#(ff apptucabley <br /> DESCRIPTION OF WORK: (j <br /> CONTACT INFORMATION <br /> OWNER NAME: Q C f?L1A&OA6L TENANT NAME It Commercial): <br /> OWNER MAXING ADDRESS: crry <br /> S7ATE yp <br /> OWNER PHONE: 2 S 11770 //3 IOWNER EMAIL: <br /> CONTRACTOR NAME: L--4A4 'r"'��fv t r <br /> CONTRACTOR ADDRESS: STRrjer Q <br /> CITY 9' STATE <br /> CONTRACTOR PHONE: CONTRACTQR EMAIL: <br /> CONTRACTOR LIC. REQUIRED): L.Al1,,{ -1 2ZL/a ICITY OF EWRETT BUSINF55 LIC. REQUIRED):0/6 34 3 <br /> PRIMARY CONTACT: 0 OWNER Q CONTRACTOR 0 OTHER(Please Spaafy) to yL <br /> CONTACT NAME: CONTACT PHONE: <br /> CONTACT EMAIL: <br /> AOR&EMEw t hdrpby wr*mw 1 have read 9nd oxaminec9 tw vocation and imow me same to be tree&W cart Ap ptvviskns of and o+aNwnce c pv rrin9 flus type <br /> at walk*4 be GwTP W wt4Vw BpeclrW heroin Or not The®ar4V d a pa+mit sass natwas+yne to pNe authonly to vk>J1te or cm aa(tr,� <br /> locei law iwpis Wa v melon or the p�a/�ruclim Ther/am autitWl�aC arab -mv t o9 thts pins or any other State or <br /> Y wtu,aha Stara Carrxractwa Lew la27 RCW end 29&2W WAS p go&iy to peria/m v a wom for whkh egattcauon is made ane i <br /> City of Evamtt O1Ficsw Use only <br /> PERMIT# <br /> D2,- 0 01 <br /> Irsa AyMt tilww turr to (RevfSep 8/13/dprFJ <br />