3332 OAKES AVE 2017-08-11 - Laserfiche WebLink

WLECTRICAL PERMIT AWLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98209 (P)425-257-8810 FAX 425-257-8857 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: ?j332 06(0 A V6 E'yeV-etr BUILDING AREA(if residential,new construction, remodel,or addition) SF 1 BUILDING TYPE: O SFR-DETACHED O SFR-ATTACHED O DUPLEX O MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION! RNFORVl ATDON CONTRACT PRICE OF WORK:$ V. NUMBER OF DEVICES(if low voltage): FIRE ALARM? WYES O NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: o ✓n c CONTACT:INFORMATION.. :. OWNER NAME: �-_t TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET ' Q L�5 Ve, Q CRY STATE14Z ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: NA Ne ItAA &I LOVI CJ V) V' CONTRACTOR ADDRESS: STREEr clTvYy" STATE �/lff/1 ZIP CONTRACTOR PHONE: nn,, 11 �( CONTRACTOR EMAIL: rPRIMARY LIC.#(REQUIRED): VwvL�e-eT l(J CITY OF EVERETT BUSINESS LIC.#(REQUIRED): TACT: O OWNER O CONTRACTOR O OTHER(Please Specify) ME: CONTACT PHONE: CONTACT EMAIL: AGREEMENT.T hereby 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 regulafing 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 I comply with the State Contractors Law 98.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE 00 PERMIT# o l -2XIJ Owner/Authorized Agent Signature Date (Revised 90/92/2095)