1708 W MUKILTEO BLVD 2017-06-22 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION 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 www.everettwa.gov/permits IP//ROJECT SITEINFORMATIONIINFORMATIO'N PROJECT ADDRESS: I j-00 66 v\1M o V— 1 telo 1 V E�+1L S V A 19 BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: ❑ SFR-DETACHEDp F�R-ATTACHED ❑ DUPLEX ElMULTI-FAMILY-#OF UNITS: El COMMERCIAL S .t/d USE OF BUILDING: Vy/1 G(c�i ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ '�20C) NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES ---60 ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: Of, H� �/I��/� � 2 -Iii-flef'S / J CONTACT INFORMATION OWNER NAME: (.ice! r%I o 1\1A�6,j VIILP/ 7 70 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET I _6'?� kV 6/Iia(/ yy/ /V�JQn CITY �V�/�r�il STATE " � ZIP OWNER PHONE: ( �ZCJ ZI7J— GJ�✓ OWNER EMAIL: CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET 15c r� (J (JOE / CIN /STATE ! V ZIP CONTRACTOR PHONE: �{Z �Z3�-D� �� CONTRACTOR EMAIL: I k�hvuspeiec I L v,G c&vo�// CONTRACTOR LIC.#(REQUIRED): /N-HO U E S f?S2QG CITY OF EVERETT BUSINESS LIC.#(REQUIRED): t/7 TI�pU PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR THER(Please Specify) CONTACT NA% CONTACT PHONE: (-42�) 0 `3203 CONTACT EMAIL: W r Vk a-t( . cevh AGREEMENT.I hereby cert hat I have read and examined this application and know the same to be true and correct. All provisions of laws and 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 I am authorized by the owner of this property to perform the work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# Owner/ thorized Agent Signature Date (Revised 9/23/2016)