10415 10TH DR SE 2017-08-25 - Laserfiche WebLink

Jan 20 2017 03:55PM Bosch Electric Inc. 0377-8977 page 2 ELECTRICAL PERMIT APO-IC,A,T'ION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425.257-8810 1 FAX 425-267-8857 (E) everetteps@everettwa.gov) www.everettwa.gov/permits PIZOJEt2T�SITE MNRORkWATIRN PROJECT ADDRESS: 1 . i-t 1'-I WA BUILDING AREA(if residental, new construction,remodel,or addition) SF BUILI)ING TYPE: 0 SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX EI MULTI-FAMILY-9 OF UNITS: E7 COMMERCIAL USE OF BUILDING: :.. Ef TSI k1L A�lP1.� AT101 MNF0 4#TIQ�1 CONTRACT PRICE OF WORK:$ NUMBER OF DEVICES if low voltage): FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT# If ap licable= DESCRIPTION OF WORK: ( Gmu as l ren irVlri v� .. �• CO�yT41CT�,hI�OATIOIiIf : QWNER NANt C a- YV-L e 4, L k SCnTENANT NAME(If Commercial OWNER MAILING ADDRESS: STREET r" DY- S ary STATE w 71P OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: EFOSC t"1 CONTRACTOR ADDRESS: m-ET I U&3 CnYLA16-v- • T?6 V FwS' STATE A ZIP 618 GrM.... CONTRACTOR PHONE: 4 Zr 3 $ CONTRACTOR EMAIL: U A In k, CIVIA CONTRACTOR LIC. SQUIRED}: f�0 Se 4 ipmq it 3CITY OF EVERETT BUSINESS LIC. REQUIRED): U497 / I PRIMARY CONTACT: ❑ OWNER 'N CONTRACTOR 0 OTHER(Please Specify) ':Ud M G rnf a'- ck-b-ilre 4 v CONTACT NAME: FCON 7AEMAIL- AGREEWENT., PHONE: q! ; � , 5"7 t f q T hsraby cat*that I have reed and exsminsd this applkallon end know the same to be true and correct. All previsions of laws and orWhances govaming this type of work"I be completed whslher specified heroin w'not The granfinp of permit does not presume to give authority fu vlolafe or cancel the prw dons of any other slate or tocellawmgulating consfrucffon orthe perfomaence of=w&ucdon. That I am authorized by the owner ofMis property to perform the work for which appllcetlon is made and I comply WIM the State Corrlrsctom Lew 16.27 RGW and 296.200 WAC. City of Everett Offdal Use Only FEE I �J PERMIT#F awrlEr/ Iiorized Agent Signature trj (f;�ev/sed 101Y212015) li