607 OLYMPIC BLVD 2017-07-14 - Laserfiche WebLink

--tECTRICAL PERMIT Al -ICATION @OLT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 FAX 425-257-8857 j (E) everetteps@everettwa.govwww.everettWa.gov/permits PR®.➢EOTS17'E INFoAmAT10fV PROJECT ADDRESS: 6007 00'r4pic L LI'o BUILDING AREA(if res idential,new construction,remodel,oraddition) SF e5,iP1wfi/A t- 10AW--Z a-4ni BUILDING TYPE: ❑SFR-DETACHED ,N'SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: S 1 e j, G„t-- ELECTRICAL APPLICATION INFORMATION .1...._ CONTRACT PRICE OF WORK:$ ` 0 0, p NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES IA NO ASSOCIATED BUILDING PERMIT##(if applicable): DESCRIPTION OF WORK: -L Cti strjG 2 6v q Zvi CONTi4CT.,INFORMATION.. OWNER NAME: D $'q Qq 5 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET (p 8 0 L v M L D My iFVf STATE tk,�'A- ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: 1,2 ej fi L e-e.t-(L f C CONTRACTOR ADDRESS: STREET Z 16 S CITY L N/v )OPD STATE W,4 71P D 3 CONTRACTOR PHONE: ZS"-7g7_'7Zgb CONTRACTOR EMAIL: 1- 92 aU P'--Lee 'N D+� CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 3.I � 15- PRIMARY SPRIMARY CONTACT: ❑OWNER If CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: j12 '_ q 7 _ 0 '/19 ° 57'jq-1i1 d(,tj j 1,e t2_ CONTACT EMAIL: 14AaC3D V(L P'r EL eC 00 M Sn1, CL) .-) AGREEMENT.T hereby certify that t 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 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 focal 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 I comply with the State Contractors Law 18.27 RCW and 296 200 WAC City of Everett Official Use Only FEE D7 C/ 1PERMIT# E 17e;13 — N Owner/Authorized Agent Signature Date (Revised 10/92/2015)