2232 MONROE AVE 2017-10-24 - Laserfiche WebLink

9LECTRICAL PERMIT AA1 1CATI®N CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFOION PROJECT ADDRESS: Wil- &' BUILDING AREA(if residential, new construction, remodel, or addition) ©D SF BUILDING TYPE: ❑SFR-DETACHED F1R-ATTACHED ❑ DUP X ❑MULTI-F MILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: 511viv- EY96TRICAL,ftPPLICATION INFORMATION CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES (if low voltage : FIRE ALARM? ❑YES NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: b-� �� 6 i CONTACT INFORMATION OWNER NAME: G A 1J✓1 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY ,` STATE t yr ZIP V OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY Q. (,�� STATE ZIP C (J CONTRACTOR PHONE: 7(p = 1CONTRACTOR EMAIL: I S f /7&V r y- CONTRACTOR LIC.#(REQUIRED): L 5 Cp CITY OF EVERETT BUSINESS LIC.#(REQUIR ): PRIMARY CONTACT: ❑OWNER 4CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 2S` CONTACT EMAIL: t Gni AGREEMENT..Thereby 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/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# /- �� E � � �� - 00� 3 Owner/Authorized Agent Signature Date (Revised 10/12/2015)