1302 HOYT AVE 2018-01-04 - Laserfiche WebLink

�ECTRICAL PERMIT AI�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: I 3 O Z I�O YT /4V C F V E R F � T W� 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: � 5�(�p� ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ .�bO,��'% NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES ❑NO ASSOCIATED BUILDING PERMff# if a licable : DESCRIPTION OF WORK: �(Q�(,�, CONTACT INFORMATION OWNER NAME: �f D sl5/ P TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTxeer O Z O�/T L cm EI/ E 7T STATE tyiq— z�r G/�Z8/ OWNER PHONE: �Z.S g3 7 ��Z I OWNER EMAIL: J�N� �/�L��, vS CONTRACTOR NAME: SEG� CONTRACTOR ADDRESS: sTaEer cro srn� zP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CI'TY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: �OWNER ❑CONTRACTOR ❑OTHER(Please SpeciTy) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: AGREEMENT.�1 hereby certify fhat 1 have�ead and exami�d this application and krrow the same to be true and correct. All provisions of laws and ordinances goveming this type of wak will be completed whether specified herein or not. ihe granting of a permd does rrot presume to give authority to violate or cancel the provisions of any other state or local law reyulating construction or the perfomrance of construction. That I am authorized by the owner of this properiy to perform the worfc for which application is made and 1 comply with the State Contractors i.aw 18.27 RCW and 296.200 WAC. City of Everett Ot�icia/Use Only PERMIT# i �� E1 L �-- �� Owner/Aut i d Agent Signature Date (Revised 9/23/2016)