1924 RAINIER AVE 2017-07-28 - Laserfiche WebLink

06/22/2016 WED 13.- 27 FAX 425 252 1666 CM Heating U003/006 ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES OL 3200 OF-DAR STREET, EVERETT, WA 98201 (P) 425-257-8810 FAX 425-257-8857 (E) everatteps@everattwa.gov www.everettwa,gov/perm Its 7 7 7 y)' ,T PROJECT ADDRESS, AL'e- BUILDING AREA(if resIdentlal, new cori5truction, remcdel, or addlflon) SF RUILDING TYPE; 13 SFR-DETACHED SFR-ATTACHED 11 DUPLEX ❑ MULTI-FAMILY OF UNITS: 13 COMMERCIAL USE OF BUILDING: g", 5, idt F�gn CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES If low volts ps): FIRE ALARM? 0 YES MNO ASSOCIATED BUILDING PERMIT#(If applicable): DESCRIPTION OF WORK: 71' ""n , "'J7'A 17 OWNER NAME: TENANT NAME If Commercial): OWNER MAILING ADDRESS: EfTR�ET . C17YSTATC ZIP 'M OWNER PHONE: :`;� OWNER EMAIL: c), zs CONTRACTOR NAME; CONTRACTOR ADDRESS: CITY (OA STATE! 71P CONTRACTOR PHONE: 0S;� tC20NT:RAQTOR 9MAIL: iftK�) CONTRACTOR LIC.#REQUIRED)— - ICITY OF EVERETT BUSINESS LIC,!REOUIRED : 0 PRIMARY CONTACT: 13 OWNERaCONTRACTOR 13 OTHER(Please Speclfy)— CONTACT NAME: CONTACT PHONE- I ' I Qj2 1CONTACT EMAIL: A GREEMENT T hereby certify that I havo read, and ex0minod this application and know the manin In ba true and Correct. All provls(ons of laws and Qrdncgs gcvarn)ng ols typo of work will be completed whatherapsofflod heroin or not, The granting of a parmll does not presume to give authorlty to vloiate or cannot the provisjonz of any other stale or local low regulating construothon or the purform4no8 of conatruction. That)am authorized by the owner of this property to perform the work for wh1ch applicaflon Is made and I Comply wlth the State Contractors Law 10.27 ROW and 296,200 WAC, City o(Everou Official Use Only FE5 PERMIT# t0- .,/A�.th.A---1�Agem 1011212015)