1627 RUCKER AVE 2017-07-28 - Laserfiche WebLink

ECTRICAL PERMIT Al LICATION Ey err CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 fPI.A25-757-881G i FAX 425-257-88:57 I fC1 --rette,G's0-eevcrctt��.�,00v I4�AN;�i �a�iorotfinia nn�i/.�P.rr!'i�c �t PROJECT SITE INFORMATION PROJECT ADDRESS: 1 -62 1 A,t.;4_ F BUILDING AREA(if residential, new construction, remodel, or addition) 7` ;". SF BUILDING TYPE: ❑ SFR-DETACHED '(SFR-`ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: 1 ) �� rL.� rv�1 I ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ I brio�. NUMBER OF DEVICES if low voltage): FIRE ALARM? ❑YES Id- NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: VV Ire rC.rie-" Cjj % �Im Angela, � , ] CONTACT INFORMATION OWNER NAME: ICY 1(,e la, I y�Y 1 a V"OC 5 iCAi TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET ��a2��c 0 1�,�GkPr- e4lVe— e CITY V j}` STATE e _ * ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Trl Y1, lEteC4ric L-LC CONTRACTOR ADDRESS: STREET 16410 - VS cn vL Siff CITY C�1 /O1/1 (S� r STATE Vv k LP T$Z jv CONTRACTOR PHONE: 360- 6 -G'r Z> CONTRACTOR EMAIL: , Gi �l`�11� P f C 1 L �G�Jl C✓/ CONTRACTOR LIC.#(REQUIRED): TQ 1 u 1 S L j. 03 ICITY OF EVERETT BUSINESS LIC.#(REQUIRED): G Z� PRIMARY CONTACT: ❑ OWNER I�dCONTRACTOR ❑ OTHER(Please Specify) CONTACT NA\M,�EI:f^' CONTACT PHONE: f VV�►C��M CONTACT EMAIL: AGREEMENT:Thereby certify that/have read and examined this application and know the same to be true and correct. All provisions of laws 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 construc,ion 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 100 �6 PERMIT# Owne Aut ori d Agen nature Date (Revised 1011212015)