2613 PANAVIEW BLVD 2017-10-24 - Laserfiche WebLink

i 0 ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 00!L 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 1 ATION PROJECTADDRESS: Z �r3 f�allviG �✓�. BUILDING AREA(if residential, new construction,Cremode) r additi SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ bPLEx ❑ MUL I-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: [:.:�+ ELECTRICAL APPLI ION INFORMATION CONTRACT PRICE OF WORK: $ 6 Dom' NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT#(if applicable): l DESCRIPTION OF WORK: G)-) c.�611• C �) � C.-� ;,' J _jf2 acro tl \ ✓••IL 11Cr JL!'•^�S /1� w Iic`1/� CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTORNAME: LLC' CONTRACTOR NNTRACTOR ADDRESSS: ] zSTREET // ,3`.'�� kL Nr 5bi 1-3?3CITY 1'�t. SV•'��C./ STATE W�� ZIP ej5 2 71 CONTRACTOR PHONE:L41S-- CV-757S EMAIL: ��s;'l�t)�, h^•'� �v�✓ r7u;I.C� CONTRACTOR LIC.#(REQUIRED):S�T CES �SJ13)y CITY OF EVERETT BUSINESS LIC.#(REQUIRED):b�'JZ/ PRIMARY CONTACT: OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: H25 - -7,375 CONTACT CONTACT EMAIL: AGREEMENT:I hereby certify that 1 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 1 am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# 7/4/1,7 E CA caner/Authorized Agent Signature Date (Revised 9/23/2016)