3216 OAKES AVE 2017-07-13 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT DICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 J FAX 425-257-8857 J (E) everetteps@everettwa.gov J www.everettwa.gov/permits PROJECT SITE INFORAT1Ol PROJECT ADDRESSbct V C BUILDING AREA(if residential, new construction, remodel, or addition) �-& SF BUILDING TYPE: SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX El MULTI-FAMILY-9017 UNITS: ❑ COMMERCIAL [U7SEOF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ -�` NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES N NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 1 I-04C TC L, rC t'✓Ls� CONTACT:INFORMATION OWNER NAME: LL TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET MY STATE Zip OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Iy ,e C LL L' c CONTRACTOR ADDRESS: STREET ��:2 Z Pl. P YCONTFACTOR CITY 1}' --t STATE ZIPCONTRACTOR PHONE: _7T I EMAIL: VT 1 �� CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): v _31.94 PRIMARY CONTACT: u❑OWNER IP CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: Lhd7-719 CONTACT EMAIL: C s1qj 6 li'AGREEMENT.-Thereby certify that I have read and examined this application and know the same to be true and correct. All provisions oflaws and ordinances governing this type of work will be completed whether specNed 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 FEE 0--adi PERMIT# ` I E `� 0(0 0- 1 WrIAuAgent Signature Date (Revised 10/12/2015)