6225 LOMBARD AVE 2017-10-24 - Laserfiche WebLink

ELECTRICAL PERMIT AALIIC TII@N - - CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 FAX 428-257-8857 (E) everetteps@everettwa.gov www.everettwa.gov/permits QjEp-T:.S._E.3NFQR ATO PROJECT ADDRESS: F ,�Q �J PAZ G _�" BUILDING AREA(if residential,new construction,remodel, or addition) SF BUILDING TYPE: SFR-DETACHED D SFRATTACHED D DUPLEX D MULTI-FAMILY-#OF UNITS: D COMMERCIAL r r - USE OF BUILDING: - QECT-RICA AOIFL]CATION INF®RMATU CONTRACT PRICE OF WORK:$ Z CG'S,o, NUMBER OF DEVICES(if low v Rage): FIRE ALARM? D YES )ZN ASSOCIATED BUILDING PER T# i plicable): DESCRIPTION OF WORK: c !�l ' . C®AITACT IINFORMA'i> 0.14_ .. OWNER NAME: { /tw i!J/L7 (/`' !' TENANT NAME(If Commercial): OWNER MAILING ADD SS: STREET oZv2 S e L e City �+L e- STATE A1/10'_ zip (Y/�Z> t OWNER PHONE: 'f�a•�' o�� 7 g OWNER EMAIL: CONTRACTO:Rf NAME: 2E777! /7"r ��X!!IF v l G CONTRACTOR ADDRESS: STREET CITY7 � G ZIP '/ STATE �� /f/ CONTRACTOR PHONE: p? �(O —�/� CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): Z75d G/,w SL 67eD CITY OF EVERETT BUSINESS LIC.#(RE IRED): PRIMARY CONTACT: AOWNER D CONTRACTOR D OTHER(Please Specify) [COENTACT NAME: ,i CONTACT PHONE: 'j( / ,j 0-7f-), J� CONTACT EMAIL: <�/XGr'S��til C7�" L1 AGREEMEAIT.-Thereby certify that i have read and examined this application and know the same to be tnJe and correct. All provisions oflaws and ordina ces 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 regulaSng construction or the performance of construction. That/am authorized by the owner of this property to perforin the work for which application is made and 1 comply with the State Contractors Law 98.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE PERMIT# ^ 0 ner/Auth !zed Agent Signature Date (Revised 1019212015)