1431 RAINIER AVE 2017-07-28 - Laserfiche WebLink

—' ECTRICAL PERMIT AF--=UCATION 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 I www.everettwa.gov/permits �/ 1P,,R,oOJECT SITE INFORMATION PROJECT ADDRESS: 1q:31 L(�l f t?if� 1 � e ejr 02.0 BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED-JI-SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ fffD NUMBER OF DEVICES if low voltage): FIRE ALARM? ❑YES LPN O ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: CONTACT INFORMATION OWNER NAME: M e /"I ��{�� yy,, nn ryry '' TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET I //� Ill hf2Y�� // CITY v/ STATE A-- ZIP 2-0 OWNER PHONE: `12 �7i- S�Q OWNER EMAIL: tiIA" CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET ��✓ -71h t2✓ CITY ?� STATE / C�4 ,,, ZIP CONTRACTOR PHONE: ZSR 2�J�I�(,/(��gr CONTRACTOR EMAIL: 6-AS 1 vLGt�1"Lt dC 6&'1�r1 C• Cd)1 n! CONTRACTOR LIC.#(REQUIRED): �Nt"'vvl�i S l%ZG�G CITY OF EVERETT BUSINESS LIC.#(REQUIRED): �G gn PRIMARY CONTACT: ❑ OWNER V4§711TRACTOR ❑ OTHER(Please Specify) /� CONTACT NAME: V! CONTACT PHONE: (42-.51 7Ye6 ?2--l)J I CONTACT EMAIL: L L {�.,�4ey (i (110 AGREEMENT.T hereby certify that I have read and examined this application and know the same to be true Vd correct. All pro inions of law 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 l 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 4-115,c', vzt/ PERMIT# E .161 Owner/ uthorized Ag7,19 nat a Date (Revised 10/1212015)