1725 CEDAR ST 2017-10-04 - Laserfiche WebLink

*ELECTRICAL PERMIT OPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 22-0 Ceda V- f+ 6vvT, , L 4 q BD 20 BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED-eSFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: ELECTR CAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: '�;o NUMBER OF DEVICES (if low oltage): FIRE ALARM? ❑YES O ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: ffi Ol VVl I v'n n� { CONTACT INFORMATION OWNER NAME: t PS TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET�1�2� Cedav T+ A, CITY \J `� V�l�`� STATE � ZIPftu I OWNER PHONE: N O�W,N�E�R,{EMAIL: � CONTRACTOR NAME: In 't'f V ks �L P,G tVl C�I U C/► V i I VI v CONTRACTOR ADDRESS: STREET /0 CJD I Fith IJe. UG Q CITY (///� t� rn n STATE ZIP �7/ CONTRACTOR PHONE: ZS' d•- f3 -7 v CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): I N ff v vl��5 zQ6 CITY OF EVERETT BUSINESS LIC.#(REQUI D).O q u & (8 PRIMARY CONTACT: �InWNER El CONTRACTOR fHER(Please Specify) CONTACT NAME: ��t�) CONTACT EMAILE. l�LZcj. 3L��Q. 57407 AGREEMENT,/hereby certify that/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 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/ comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# ,C/ ��e E lam$ -0 ,52- Owner/Authorizer,,/Agent Signature V V Da (Revised 9/23/2016)