5113 SOUND AVE 2017-10-25 - Laserfiche WebLink

09/29/2017 FRI 12: 06 FAX 425 252 1666 CM Heating 0002/003 ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES OL 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everettepsc@everettwa.gov www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: rj �j LA n BUILDING AREA(If residential, new construction, remodel,or addition) SF BUILDING TYPE: FR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ Z S NUMBER OF DEVICES If low voltage); FIRE ALARM? ❑YES ❑NO ASSOCIATED BUILDING PERMIT# If a Ilcable : DESCRIPTION OF WORK: 5 CONTACT INFORMATION OWNER NAME: V1 TENANT NAME If Commercial): OWNER MAILING ADDRESS: STREET Q CITY S9 TATE ZIP 223 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: C_4&"A.QLn_ - 9 CONTRACTOR ADDRESS: SMF!Er O city STATE zIP CONTRACTOR PHONE: y 2 0.%5D CONTRACTOR EMAIL: 44 CONTRACTOR LIC.#REQU ED: Q 4 6 q$ C.1)1haaryb 1 of EVERETT BUSINESS LIC.#REQUIRED : PRIMARY CONTACT: OWNER CONTRACTOR ❑OTHER(Pleme Specify) CONTACT NAME: CONTACT PHONE: 2 -Q� S CONTACT EMAIL; AGREEMENT`,I hereby certify that I havo road and examined this application and know the same to be true end correol. All prov)elons of laws and ordinances governing this typo of work will be completed whether epeelllod hereln or not. The granting of a permit does not presume to give authority to violate or Cancel the provlslens of any other state or local law rvgulaUng construction or the perfomtanca of conatructlnn. Thal/em authorized by the owner of this property to perform the work for which appllaation Is mado and I comply with the State Contractors Law 78.27 RCW and 298200 WAC. Clty of Everett OMclal Uae Only PERMIT# � ' 2q 17 E 1-7 o -o Owner/Authvrized Agent 519nalur Dete (Revlsad 912312018)