6931 HIGHLAND DR 2017-07-12 - Laserfiche WebLink

ECTRICAL PERMIT AP ICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-881,) 1 FAX 425-257-13857 1 !=} everettepsgeverettwa.gov 1 woA&*,evernFtwa.gr)v permitS PROJECT SITE INFORMATION PRf'3JECT ADDRESS: BUILDING AREA;,a residential, new construction, remodel,or addition) SF BUILDING TYPE: S7R-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ 4?ULT;-FAMILY-#OF UNITS ❑ COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATIONINFORMATION 7-11 CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES 'if low volts e FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT# if a llcabfe DESCRIPTION OF WORK: 4-- t 4 CONTACT INFORMATION OWNER NAME: 1A Lp,J I TENANT NAME(it Commercial): OWNER MAILING ADDRESS: 3TREET { /y,� Vmr STATE W ZAP r V 20-? OWNER PHONE: 9%y OWNER EMAIL: CONTRACTOR NAME: ' CONTRACTOR ADDRESS: SNECT �"� - My_ .,.-t.•+ STATE ZIP C)i CONTRACTOR PHONE: d CONTRACTOR EMAIL:1( q3j T}i CONTRACTOR LIC.#(REQUIRED}; �Q .. >i CITY OF EVERETT BUSINESS LIC.#(REQUIREDo c– PRIMARY CONTACT: ❑ OWNER ACONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: s 71-z 4 L1 c CL CONTACT EMAIL: � AGREEMENT:T hereby certify that i have read and examined this application and know the same to be true and correct. All provisions of laws and ordr ances governing this type of work will be completed whether speciled 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 Oficial Use Only FEE. PERMIT# 3 OwnerlAuthoriied Agent Signature Date (Revised 10/1212075)