1431 RAINIER AVE 2017-07-28 - Laserfiche WebLink

ECTRICAL PERMIT AF _ICATION 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 PROJECT SITE INFORMATION PROJECT ADDRESS: Nl -4iw ipr v -ve'rZ p) mom BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED -OSFR-ATTACHED 11 DUPLEX 11MULTI-FAMILY-#OF UNITS: 11 COMMERCIAL USE OF BUILDING: Cjl n 10 +n-ml Lj rnl t ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 1 DO NUMBER OF DEVICES if low voltage): FIRE ALARM? ❑YES 'ANO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: IYl tw 1 Gjo CIrou( It r 2.0 6LMP brpt CONTACT INFORMATION OWNER NAME: WOW MMrob TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET /� e* /��Jn� 1Z CITY VY/I STATE OWNER PHONE: g2y)Zr✓Z" 7450 OWNER EMAIL: /V/A CONTRACTOR NAME: IVI �� I S dl�S trl(� CONTRACTOR ADDRESS: STREET (r)� O �11� CITY L-Al-� 5tot1'l s STATE WA AZIP 41✓l0� CONTRACTOR PHONE: (HZ r-))27J1- O je)� I CONTRACTOR EMAIL: (4D I vi G• 6M CONTRACTOR LIC.#(REQUIRED): IN 40055 q0 Z 6-& ICITYOF EVERETT BUSINESS LIC.#(REQUIRED): OqllhaS PRIMARY CONTACT: ❑ OWNER '-EY�FONTRACTOR V�THER(Please Specify) CONTACT NAME: f, CONTACT PHONE: (y2 SJ •7100_ 320_-�'/_ CONTACT EMAIL: �L��S Y�iV G� �'1'(GU1 Gdm AGREEMENT:T hereby certify that I have read and examined this application and know the same to be true an correct. All provisions of laws Wnd 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 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 PERMIT# � E \�oo'� - 62- � Own Au zed Ag Signatu Date (Revised 10/12/2015)