2128 VIRGINIA AVE 2017-07-17 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E)everefteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2-Y IA Av - LL L-fL' 1 7- BUILDING AREA(if residential,new construction.remodel,or addition} L' - ai-tiLt,-1—sF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 11 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: lo-vo ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: NUMBER OF DEVICES if low voltage); FIRE ALARM? 13 YES "A NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: 1we I J till A-A C. I I- 2L)A-rni) I il (11 CL 2-�Lorjh'c" j v"-r- L? 1'-� �e ri irv�, a �rg't 11(10 Lj-)D 4) r%IrTACT RMATION OWNER NAME:., t TENANT NAME If Commercial): OWNER MAILING ADDRESS. 2- CITY STATE 2jp OWNER PHONE: g )-Q-)-q,.-.a' Xa, I =OWNER EMAIL; CONTRACTOR NAME: iLLts �r(CL-�ck(-X CONTRACTOR ADDRESS: c;v LLi n()L.U. STATF s 7tP clg ! -t'60 C CONTRACTOR PHONE: r V�43q- ]CONTRACTOR EMAIL: �()t) eH,>ejeCA-t CONTRACTOR LIC.#(REOUIRED)rAICITY OF EVERETT BUSINESS LIC.#(REQUIRED). — PRIMARY CONTACT: 13 OWNER CONTRACTOR ®OTHER(Please Specify) CONTACT NAME: 1CONTACT PHONE:CONTA CONTACT EMAIL AGREEMENT.,i hereby certify that I have read ano'examined Hvis aWirsAon and Jum the sane to be hire and corred. Allprovisions of laws and ordkances goverviog tNs4T'e of work will be completed whether specified herein or not. The granting of a permit does not presume to give authonty to violate or cancel the provisions of any other state or kx,W law requiating cortsowc6on or the podorrnance of constrtiction, not I am authorised by the owner of this pn4mrty to perform the work for which ep##cetjofj is made and I comply wffh the State Contractors Low 1827 FICIN and 296.200 WAC. City of Everett Ofricwi Use Onty PERMIT# Owner/ orf 8 Agent siolature, i Da th (Revised 912312016)