2806 LEONARD DR 2017-11-17 - Laserfiche WebLink

I • 477 ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: Z`?(..)ti L-EO►(l0-i(ted \I/c °14)2_0-1 BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED E9SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: g e- (n V t It.c ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ SO NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES aNO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: OQ W CJ Gl e I v-6 /tI t ->DV er\ M( tie+s , v-ept okci(- 2 k e1+-6,1i5 CONTACT INFORMATION OWNER NAME: L..A S�l (\A.8'0 V& - TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2c61;{'(j2 Leo vim l Dv• /� (� 2 CIN (j V 6v e 11 STATE wlf ZIP q Q/2o1 OWNER PHONE: L/2 2 3Z 00/0 OWNER EMAIL: NUA- CONTRACTOR NAME: /PI '-/Y(�lii ./ !•Col/ J ViC6S , `y(6- • CONTRACTOR ADDRESS: STREET./53O // 77'ii 7 DP 5s-F CITYLG'/ cfs vp(f STATE /AM- ZIP qQ2_ / CONTRACTOR PHONE: 52 CONTRACTOR EMAIL: I/le�/v147i vv? ...//. c-(5,'Yy, CONTRACTOR LIC.#(REQUIRED): /Al-'/ 0 2 CR C7 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): oz7i e PRIMARY CONTACT: 0 OWNER t ONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: $1i2 0 7C EMAIL: i V pLp/yW T7-f' �G r/1727\ r AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions oNaws 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# °72/F E - Owner/Au orized Agent Signatur;, Date (Revised 9/23/2016)