1518 ROCKEFELLER AVE 2017-07-14 - 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 //n PROJECT SITE INFORMATION PROJECT ADDRESS: j�l`b ��il��/�I�il� ve eG l Y /T q02-07 BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: ❑ SFR-DETACHED SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: S� (/1 r1 GjC� ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ °l�)D NUMBER OF DEVICES if low voltage): FIRE ALARM? ❑YES b NO ASSOCIATED BUILDING PERMIT# if applicable): I/ DESCRIPTION OF WORK: 200 0IrYI �jivi IIS VQ(,'A I' In V4 W Z7-1 t/t I, CONTACT INFORMATION OWNER NAME: {'V11V1 (��i'✓�Of C� P01 I/0C- TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 161' 2(J(jl�� !�P/V CITY Eve e7i STATE PN/A- ZIP OWNER PHONE: DLJ k " IF71q OWNER EMAIL: r- l) � CONTRACTOR NAME: � JC ler-lerI( 6(�o�� S CONTRACTOR ADDRESS: STREET 1k3-'3'D I CITY Z S-�&�f�e417(�✓ C ' STATE 1 V7q ZIP 102�F✓ CONTRACTOR PHONE: /qZ )2?5e-7—()L12(' ) CONTRACTOR EMAIL: SC; ;N % ctw n CONTRACTOR LIC.#(REQUIRED): INTOVE S / 92- L�8 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑ OWNER ONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: J�O� CONTACT PHONE: (q25 �( � e� —�21 CONTACT EMAIL: �S�j �e�ill�S G� l'11GL1 C�'Yl AGREEMENT-/hereby certify that/have read and examined this application and know the same to be true andZorrect. All provis ns of laws LAd 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/ comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# � CA 0 �2�� E 1�c o — dC.a Owner/ uthorized adibnature Date (Revised 9/23/2016)