9624 18TH AVE W 2019-01-11 - Laserfiche WebLink

*ELECTRICAL PERMIT OPLICA1 A CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 FAX 425-257-8857 (E) everefteps@everettwa.gov www.everettwa.gov1permits PROJECT ADDRESS: q BUILDING OT% AREA(if residential, new construction,remodel,or addition) SF BUILDING T-1 COMMERCIAL UILDING TYPH- El SFR-qETACHED El SFR ATTACHED ODUPLEX E]MULTI-FAMILY-Yfi OF UNITS. U ffo Ct C'-p USE01 1 USE OF BUILDING: -OR L R PPL ON RNF CONTRACT PRICE OF WORK: NUMBER OF DEVICES (if low voltage). FIRE ALARM? 11 YES El No ASSOCIATED BUILDING PERIVIrr# applicable): DESCRIPTION OF WORK: apj�! ))oLo-eoz C> V w. Z ColAT l TENANT NAME(If Commercial): -- 0 fOWNERNER NAME�* MAILING ADDRESS: STREET Grry STATE Zip OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR EMAIL: CONTRACTOR PHONE: NTRAC CONTRACTOR LIC.#(REQUIRED): ICITY OF EVERETT BUSINESS LIC.#(REQUIRED); PRIMARY CONTACT: 0 OWNER [I CONTRACTOR El OTHER(Please Specify) CONTACT NAME: CONTACTZU -7( -7 5 ) CONTACT EMAIL: I 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 whether specified 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 law egulaong construction orthe performance of construction. That I am authorized by the owner of this property to perform the work ibrwhich application is made and I comply with the State Contractors Law 18.27RCWand 296.200 WAC. City of Everett Official Use Only FEE PERMIT# EE 2015) 0 e uthorl a gent Si nature Date (Revised 101121