2208 CEDAR ST 2017-10-24 - Laserfiche WebLink

OLECTRICAL PERMIT APPLICATION 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: 2x-09 BUILDING AREA(if residential, new construction, remodel, or addition)_ 0 11114 SF BUILDING TYPE: SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: Q 1 ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ _ ` t « O NUMBER OF DEVICES (if low volta e : A/LA FIRE ALARM? ❑ YES XNO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: W� a) CONTACT INFORMATION OWNER NAME: v\,ko� TENANT NAME(It Commercial): OWNER MAILING ADDRESS: STREET �j� !S+rA+1y ( Ore— EE CITY r V STATE ( `(/\• ZIP OWNER PHONE: r 33 OWNER EMAIL: iA),,NV\ K - m Gf3M CONTRACTOR NAME: A CONTRACTOR ADDRESS: STREET CITY 0(- STATE 33 CONTRACTOR PHONE: C9--70 CONTRACTOR EMAIL: V IOt4 'it L w `�vx f�S �V)P—' - CONTRACTOR LIC.#(REQUIRED): A ,p NLS CITY OF EVERETT BUSINESS LIC.#(REQUIRED): OL"6'•}' PRIMARY CONTACT: ❑OWNER CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE'. -7 t . 6 <-T"7 CONTACTEMAIL: e6� AGREEMENT:Thereby certify that 1 have read and examined this application and know the same to be true and correct. At/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 1 am authorized by the owner of this property to perform the work for which application is made and f comply with the State Contractors Law 18.27 PCW and 296.200 WAC. City of Everett Official Use Only FEE PERMIT# EVU I �Oq Ow r/Aiithorized Agent Signature Date (Revised 10/12/2015)