7929 BEVERLY BLVD 2017-10-03 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMI#RVICES 3200 CEDAR STREET, EVERE-i T,WA 98201 (P)425-257-8810 FAX 425-257-8857 (E) everetteps@everettwa.gov www.everettwa.govlpermits PRO .0 INFOR ', ITt" PROJECT ADDRESS: 797-9 BUILDING AREA(if residential,new constructioken,o4 or addition) SF V&-D BUILDING TYPE: 11 SFR-DETACHED 11 SFR ATTACHED DUPLEX El MULTI-FAMILY-#OF UNITS: El COMMERCIAL USE OF BUILDING: P16 I -APkibA.-TION. NFORMATIO Rib ELEG P T CONTRACT PRICE OF WORK:$ CONTRACT OF DEVICES(if low voltage): FIRE ALARM? El YES NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 0-01"i L tj4 CONTACT: N ORMATI .7 OWNER NAME: A TENANT NAME(if Commercial): OWNER MAILING ADDRESS: STREET CITY STATE 7jp OWNER PHONE: IOWNER EMAIL: CONTRACTOR NAME: e4i tb,� L/t,'X,5 CONTRACTOR ADDRESS: STREET 0 qZrl� ciry 54-"of,,4 STATE zip CONTRACTOR PHONE: L �q(, 65Tb 1CONTRACTOR EMAIL: poi lc-0— _3 CONTRACTOR LTG.#(REQUIRED). Z_NTE c, )_�5ICITY OF EVERETT BUSINESS LTG.#(REQUIREb):0 5 141v CONTRACTOR PRIMARY CONTACT: FIOWNER d'4CONTRACTOR 00THER(Please Specify) CONTACT NAME: CONTACT PHONE: U o5s-o A �_ R� CONTACT EMAIL: AGREEMENT.•Thereby ceffifythatl 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 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 FEE PERMIT# P- lan E �Wg OvvnerlAutfiorize Agent Signature Date (Revised 1011212015)