2401 CHESTNUT ST 2017-10-04 - Laserfiche WebLink

RECTRICAL PERMIT APACATION 0!FWrr CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257.8810 1 FAX 425-.257-8857 1 (E)everefteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: Z401 BUILDING AREA(if residential,new construction,remodel,or addition) I SF BUILDING TYPE: SFR-DETACHED El SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS: ©COMMERCIAL 1JSE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ q i L I 1 t) NUMBER OF DEVICES if low voltage): 1 FIRE ALARM? CI YES 6 NO ASSOCIATED BUILDING PERMIT# if applicable DESCRIPTION OF WORK: � �:C ? �' ��iJ�✓t � � '` t�1 GJtti4� � t��. CONTACT INFORMATION OWNER NAME: 6c._)Ivt44—TSNAt4T DAME(11 Co€nmerdiat) , OWNER MAILING ADDRESS: STREET CRY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: 5a"Vac v CONTRACTOR ADDRESS: STREET 1275,30)k- �- city " .bSTATE VVI"k 1P ., CONTRACTOR PHONE: _c7 �1 7J��Q CONTRACTOR EMAIL: t Cyd CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED):6) 1 PRIMARY CONTACT: ®OWNER CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: , CONTACT EMAIL: AGREEMENT:T hereby 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 specired 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 t comply with the State Contractors Law 18.27 RCW and 298.200 WAC. City of Everett Official Use Only FEE f PERMIT# Ovsmer/AutPeorixed Agent SlgraaEwre Date (Revised 1011212015)