801 PECKS DR 2017-06-28 - Laserfiche WebLink

��.��'�I�A� ��f�0`� A �➢C�`�I�� C]TY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov� www.everettwa.gov/permits . : PROJECT SITE INFORMATIAN' ' :` ' PROJECT ADDRESS: ��_ �� c� ; -� � BUILDING AREA(if residential, new construction, remodel,or addition) � c SF BUILDING TYPE: ❑SFR-DETACHED ❑ SFR-ATTACHED DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUfLDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ , L�,�; �— NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES t�NO ASSOCIATED BUILDING PERMIT# (if applicable): /�I c� DESCRIPTION-OF WORK: Y V i CC /'��'' � ' e'N1 - : _ CONTACT INFORMATION _ ' OWNER NAME: TENANT NAME(If Commerciai): OWNER MAILING ADDRESS: sTREEr CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: .. .... . . ... . _.. _ - s�' -e , � .. CONTRACTOR ADDRESS: sTReer � CJ �� CIT' �� -'.�� STATE ' i ZIP �L"'� CONTRACTOR PHONE: Z i-- � - � c% �j CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: � CONTACT EMAIL: AGfZEEMENT.�T hereby certify that/have read and examined this appiication and know the same to be true and correct. A/l provisions of laws and ordinances governing this iype of work will be completed whether specified herein or not. The granting of a permrt does not presume to give authority to violate or cancel the provisions of any other stafe or local law regulating construction or the performance of construction. That!am authorized by the owner of this property fo perform the work for which application rs made and l comply wrfh the Sfate Contracfors Law 18.27 RCW and 296200 WAC. Crty of Everett Official Use On/y FEE , � �� � �," PERMIT# � > � � � I � � I � I2� 1 �� Owner/Authorized Agent$gnature Datel (Revised 90/12/2015)