1208 44TH ST SE 2017-10-26 - Laserfiche WebLink

4!-LECTRICAL PERMIT AALICAT�ON CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 FAX 425-257-8857 (E) everetteps@everettwa.govWWW.everettwa.gov/permits r > ®JEC -T SITE [INF'®RfliliATr®� n PROJECT ADDRESS: 12d 4y T , 'St- _F V E TT W P BUILDING AREA(if residential,new construction, remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED EI SFR-ATTACHED ®DUPLEX ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: ELECTRICAL APPUCAT90M r>NF®RmAncm CONTRACT PRICE OF WORK:$ _Q0 L7 NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES EI NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: PA1V$ L C 14 N 619 CONTACT 04FORMATION OWNER NAME: TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET crry STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: t /r E L C 2 G LL-C CONTRACTOR ADDRESS: I-MEET rOZOO /� Z Q Z NA c,- SD*o a E Ll A, E STATE w J4 ZIP 9d'13 3 CONTRACTOR PHONE: 2,p� 3.53 O Z,yq CpONTRACTOR EMAIL: 1VLd 1 hloo c vM CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUfRED): PRIMARY CONTACT: ©OWNER ❑CONTRACTOR EI OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 'LDFj 3 � 0- /1)-360 6 A -/1)-36066 M A Q1) A49Ll CONTACTEMAIL: AGREEMENT.'Thereby certify that I have read and examined this application and know the same to be true and correct All provisions oflaws and ordinancesgoverning 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 stat or local law regulating construction or the performance of construction. That I 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 98.27 RCW and 296 200 WAC City of Everett Official Use Only FEE PERMIT# 4.wner/Augent Signature Date (Revised 90/12/2015)