1914 BAILEY AVE 2017-09-07 - Laserfiche WebLink

• 0 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) everetteps@everettwa.gov I www.everettwa.gov/permits L� PROJECT SITE INFORMATION PROJECT ADDRESS: , 14 O?it_r Ale v BUILDING AREA(if residential, new construction, remodel, or addition) Res;ddhtal SF BUILDING TYPE: SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL [USE OF BUILDING: HO.416 ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 1 Lf_,0 q4. V7 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES C'NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Rewj vc 0 fi 9"Vb if fuck ,m 461ry ri Afca . 6,1v4z6t wg 1j316c'i l)n 411 ;oh o-f OL 5014u n�cmh 09 Jfj hT5/reCepmc:le5 kv hu ,,96!w .Y V c�efl, R �� =✓�tstw��s of ill ��unn foY COO 1; hT5/Ve6e j&(jeS open Wali ceii,n W-a ewej- covar mod {mq, Nf L'f-eh {uYp�uHJNhlait7 �ha� CONTACT INFORMATION OWNER NAME: k✓l:_ RE:TO VI1 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 7101 r I-� V L p..:Y CITY ere STATE t44 ZIP 6G.1/ OWNER PHONE: (42F) 316 - 3 72 1 OWNER EMAIL: 6090 CONTRACTOR NAME: /I/AjYAA1'RiR Alr:r C1 LN CONTRACTOR ADDRESS: STREET gr5pp3y 35>*r A r 5r' CITY evc-A STATE t4/,# ZIP YI�ZUO CONTRACTOR PHONE: ['+25') 327-2_b01 CONTRACTOR EMAIL: W lil'Ip AOG&U.S2,44- CONTRACTOR LIC.#(REQUIRED): ALP14,4el:6'2_ f 4 1 CITY OF EVERETT BUSINESS LIC.#(REQ IRED): PRIMARY CONTACT: ❑OWNER CONTRACTOR ❑OTHER(Please Specify) - CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: AGREEMENT*/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 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/ comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# , - E ��CLC oS Owner uthorized Agent Signature Date (Revised 9/23/2016)