2906 16TH ST 2017-09-25 - Laserfiche WebLink

£•. QVLECTRICAL PERMIT OPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 FAX 425-257-8857 (E) everefteps@everettvva.gov www.everettwa.gov/permits SITE A PROJECT ADDRESS: BUILDING AREA(if residential,new construction,remodel,or addition)— SF BUILDING TYPE- K—SFR-DETACHED FISFR-A-fTACHED CI DUPLEX El MULTI-FAMILY-#OF UNITS.- CI COMMERCIAL USE OF BUILDING kev N CONTRACT PRICE OF WORK.- /0ocro NUMBER OF DEVICES (if low voltage). _ FIRE ALARM? 11 YES hN0 ASSOCIATED BUILDING PERMIT#(if applicable): V DESCRIPTION OF WORK: :5,6 115 40'A rL rwm Lv,4 r6om. Kvncko u4 ofet 1/5 ofLfP/,xr k e (r-ke,-V 40 1—c)o oA 77-7- S -ACT I NT WO ION TENANT NAME(if Commercial): NEP, OW FOWNER MAILING ADDRESS: STREET 5-70-7 CITY STATE ZP OWNER PHONE: 2—OG Z!5'-( 17as— OWNER EMAIL: CONTRACTOR NAME: 3 CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE., _]CONTRACTOR EMAIL: CONTRACTOR UG.#(REQUIRE D)• CITY OF EVERETT BUSINESS LIG.#(REQUIRED): PRIMARY CONTACT; OWNER 0 CONTRACTOR F]OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 2C) t7oS e.lJ SL's CONTACT EMAIL- G!EL e-9-1 1'Z- AGREEMENT,'Thereby certify that I 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 whetherspeoffied herein ornot The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local iawregulatiag construction orthe performance of construction. That I am auffiodkedby the owner of this property to perform the work forwhich 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 PERMIT# c)vvnerjAQutfiorr1ized gailg-at-1 Date (Revised 1011212015)