1431 OAKES AVE 2018-01-04 - Laserfiche WebLink

� � ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everetiwa.govlpermits �'ttt�,J��T.1#1TE IN�'tti.RMATIC)N PFiQJECT ADDRESS; 1 BUILDING AREA(if residential,new construction, remodel,or addiiion) SF BUILDING TYPE: SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: �COMMERCIAL U5E OF BUILDING: � ` ELEC`1''I�IG141.�Ai�i�L��A7`tON�'IN�ORNllItiUN CONTRACT PRICE OF WORK: $ �,CX�,OG NUMBER OF DEVICES if low voita e : FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMiT#(if a plicable : DESCRIPTION OF WORK: Yl � �!..'s` G � CC�NtACiI' t�1�ORMA'!�t'�N 4VYNER NAME; ��,,, TENANT NAME tf Commerclel : OWNER MAILING ADDRESS: sTReeT C(TY 5Ti1fE � Z(P � OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME; � CONTRACTORADDRESS: sTReer ( ( ��}� GI�Y - 6TATE Fi�' ZIP � �� GONTRAC70R PHONE: � CONTRACTOR EMAIL: , yN CONTRACTOR LtC.#{REQUIRECI};Cf'YII�@. �''1 �C�rl CITY OF EVERET7 BUSINES3 LIC.#(s�E4uiRED): PRIMARY CONTACT: ❑QWNER CONTRACTOR ❑OTHER(Please 5peclfy) CONTACT NAME: CONTACT PHONE: 'a� '��C� �� � `��(e CONTACT EMAIL: �� M i �� •C�� AGREEMENT:1 hereby certily fhef I have read and exemined thls applicelion end know Ihe same to be frue and corrocL All provislons ot laws and ordfnances goveming fhis lype o(work wll!be complefed whefher speclfied hereln or nof. The grantfng ol a permll does not presume fo glve authorlty to vfolafe or cencel Ihe provlslons of eny other state or Ioca!law regulating construcflon or fhe performance o/consf�uction. Thaf 1 em aulhorized by Iha owner o1 fhls property fo perform the work for which applicafion is made and 1 comply wi(h fhe S�afe Contrectors Law 18.27 RCW and 296.200 WAC. Cffy of EvereH ONicfa!Use Onty PERMlT# � ��kz�.c� E l' - ��,u.�.____�_ �o � � 2�1-� � '1 - � OwnarlAuthorized Agent Signaturo Dala (Revised 9/23/2016)