8420 9TH AVE SE 2017-09-25 - Laserfiche WebLink

LECTRICAL PERMIT LICATION CITY OF EVERETT PERMIT ICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 J FAX 425-257-8857 ] (E) everetteps@everettwa.gov J www.everettwa.gov/permits 'rlE I NFO IFtilf>1AMN S,9 ... PROJECT ADDRESS: SE FVC.'e4-j' 1,4 <f81-0e BUILDING AREA(if residential, new construction, remodel, or addition) 1 S VU SF BUILDING TYPE: ❑SFR-DETACHED ❑SFR ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: ELECTRICAL APP1,9.CAT1®N INFORMATION CONTRACT PRICE OF WORK:$ NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES 0 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: e e X i ►. e h c o t ��✓ i c� ) a K a 1 CONTACT:INFORMATION OWNER NAME: `. e, TENANT NAME(If Commercial): WA OWNER MAILING ADDRESS: STREET L _ Crry e v t ir J-Y STATE [4/4 ZIP Cy aft e? OWNER PHONE: —4& OWNER EMAIL: e r �4 Ce 2 go e f'4 CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: -OWNER ❑CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: JOf'r � T� CONTACT EMAIL: �O P 9�.�-- 4,4aGf 4 - Cc AGREEMENT.'T here y certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances goveming 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 RCW and 296.200 WAC. City of Everett Official Use Only FEE II PERMIT# (CSD -7 OvvnedAutFiorized Agent Signature Date (Revised 10/1212015)