4702 W GLENHAVEN DR 2018-02-23 - Laserfiche WebLink

�ECTRICAL PERMIT A�LICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: � (5 � I(� � ' ��C�C�"�-( V�`� �LL�� BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: (�t��`�Q, — � � ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ ��F�= �Zy7j� °% NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑ YES NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: '"r,��-w.11�. S �.��b �ne-t-�-(-„ I S .. S �k � CONTACT INFORMATION OWNER NAME: �c� � -��. TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTRee-r ��J4L, �^� - • � ��nc,,.J eh CITY ^ { STATE W� �� ZIp C �ZJ �' OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: ; •,_;J;tC- �,`. �Q'rCi C CONTRACTOR ADDRESS: sTREET �JL� � �-� G...�➢ L 1 I:. CITY �� S�r��- STATE � . ��I ZIP b'�� CONTRACTOR PHONE: �Zi1 ' �i`'�� ' S I 1 CONTRACTOR EMAIL: �...�,�tC.�1 �_,� -CY '�- � LO•✓r� CONTRACTOR LIC.#(REQUIRED):J� � ��-��,L ` . CITY OF EVERETT BUSINESS LIC.#(REQUIRED): (�� ZJ,1 PRIMARY CONTACT: ❑ OWNER �CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: l.�Z� _ �� - -j S�� 1 e� �C',G �5� CONTACTEMAIL: �.� -tt:<., GL- un �S.�J. tc. �'�d,C. G�, AGREEMENT.•T hereby certify that 1 have read and examined this application and know the same to be t�ue and correct. AlI provisions of I s and ordinances governing this type of work will be completed whether specified herein or not. The granting of a permit does nof presume to give authonty to violate or cancel the provisions of any other state or local law regulating consfruction or tire performance of construction. Thaf I am authorized by fhe owner of fhis property to perform the work for which applicafion is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. Cify of Everett Otficial Use Only FEE � �I� °� � /' PERMIT# , �l � 1 �c� /C� E D I -� l2� ; Ow Authoriz ' nt ure Date (Revised 10/12/2095)