8301 XAVIER WAY 2017-09-25 - Laserfiche WebLink

........... .................... ...................................... ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/perm its PROJECT SITE INFORMATION PROJECT ADDRESS: )(6 V i-ely- BUILDING AREA(if residential,new construction,remodel,or addition_SF BUILDING TYPE: All's FR-DETACHED ,-SFR-ATTACHED El DUPLEX 11 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: a4n r-e6isv-)n e 64 +urrat f CONTACT INFORMATION OWNER NAME: TENANT NAME(if Commercial): OWNER MAILING ADDRESS: STREET CITY I STATE(] 1 2 zip() —6) OWNER PHONE --�!)4- )�3 C_ OWNER EMAIL: 46��5 CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET STATE ZIP CITY Allallyu'6r V" 01� CONTRACTOR PHONE4?-_5 ---2,) ICONTRACTR EMAIL: jJ AC f— CONTRACTOR LIC.#(REQUIRED): nt)yo-5 L6 ICITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: 11 OWNER O)CONTRACTOR 11 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: j aVA7 lCONTACT EMAIL: A-z-,f-a O'l h 61, 0 LLD It' til , LA AGREEMENT,I hereby certify that I have read and examined this application and know the some 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 I comply with the State Contractors Law 18.27 RC and 296.200 WAC. City of Everett Official Use Only PERMIT# Owner/Authorized Agent Signature Date (Revised 912312016)