1820 VIRGINIA AVE 2017-07-17 - Laserfiche WebLink

LECTRDCAL PERMIT AL==—ICAli ION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 FAX 425-257-8857 1 (E) everetteps@everettwa.gov] www.everettwa.gov/permits hROJECT SITE IhIFORI1tl�1TI PROJECT ADDRESS 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: j,&6,C-ice ELECTRICAL APPLICATION INFORM ►TION CONTRACT PRICE OF WORK:$ /5 ov - `w NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES L4 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: ZGZ7/j-X4/-3' CONTACT,INFORMATION OWNER NAME: lJ 1/(/� (�/ S/ S/� S TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CrrY /iSTATE ZIP �v OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: --T eZ14 -T/"�l L CONTRACTOR ADDRESS: sTREFT ?( � /✓ 2' 2�� l3LL'r� Q CITY �C%(� STATE �� ZIP CONTRACTOR PHONE: L5 - 3 b' -�fU( /� CONTRACTOR EMAIL: /CV,- ✓�TG/b/9 7/ ��17C1Z7 CONTRACTOR LIC.#(REQUIRED): � L{/� (�� /E0 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): qZ PRIMARY CONTACT: ❑OWNER ONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: '3�r?- jfUl 1-ZeAl ItA /d&t-11-2</ CONTACT EMAIL: jj/jr�v,lutes K/4�- v�/fCJ7,rLll AGREEMENT.-Thereby certify that I 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 otherstate or local law regulating construction or the performance of construction. That/am authorized by the owner of this property to perform the work for which application is made and 1 comply with the State Contractors Law 98.27 RCW and 296.200 WAC City of Everett Official Use Only FEE - loo PERMIT# Owner/ uthorized Agent ignature Date (Revised 10/12/2015)