1514 VIRGINIA AVE 2017-07-17 - Laserfiche WebLink

L ECTRICAL PERMIT AF a- "ICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE,INFORMATION PROJECT ADDRESS: 1 /t 7;n,a BUILDING AREA(if residential,new construction, remodel, or addition) SF BUILDING TYPE: ❑SFR-DETACHED &�ZFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: S 1 ELECTRICAL.APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ C7v`-0 NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES 6NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: T_,, -}A 5 ( 2 L O 36) i fc_,,( `O- CONTACT7NFORMATION OWNER NAME: �� ;�"� TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET K l I c'C( �C_ z Crry "a t.�f� 9( , STATE ZIP OWNER PHONE: - �S /q—YU OWNER EMAIL: CONTRACTOR NAME: C om1, ,7- CONTRACTOR ADDRESS: STREET .22x)9 (xJ t CIN L - I STATE Gd/� zlp� v `� ECONTRACTORHONE: 15 —��pZS CONTRACTOR EMAIL: /�'C.#(REQUIRED): �L USE J�� CITY OF EVERETT BUSINESS LIC.#(REQUIRED):d (d PRIMARY CONTACT: DOWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: -?� Y59— 7 C i ��— CONTACT EMAIL: AGREEMENT. Thereby certify that/have read and examined this application and know the same to be true and correct All provisions oflaws 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 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 98.27 ROW and 296.200 WAC. City of Everett Official Use Only FEE PERMIT# 7-2017 IE 116 Owner/Authorized Agent Signature Date (Revised 90/9212015)