2807 PACIFIC AVE 2018-02-23 - Laserfiche WebLink

�ECTRICAL PERMIT AP�ICATION 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: L� �� i 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: ` ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 60 NUMBER OF DEVICES if low volta e): � FIRE ALARM? �.YES ❑ NO ASSOCIATED BUILDING PEF?MIT# (if applicable): DESCRIPTION OF WORK: I�f 1 I�{�,S � CONTACT INFORMATION OWNER NAME: CS l�,f ( 'fENANT NAME(If Commercial): OWNER MAILING ADDRESS: srReeT U �(�Q�� arv � sTnTE ziP � � OWNER PHONE: �,�—2 -� � �-�, OWNER EMAIL: CONTRACTOR NAME: � CONTRACTOR ADDRESS: sTREET S ' CITY STATE � ZIP Z,., CONTRACTORPHONE: ZS �-�� '��U� CONTRACTOREMAIL: �1 �J,h'�,/� ,�� CONTRACTOR LIC.#(REQUIRED): )1,..� CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑ OWNER NTRACTOR ❑ OTHER(Pfease Specify) CONTACT NAME: CONTACT PHONE: ZU�^�JJ" ��p 7j CONTACT EMAIL: kOn2aC� ��cS�S c7 �ec�onl•c'v''� AGREEMENT. T hereby certify that I have read and examined this application and know the same to be true and correct. A/l provisions of/aws 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 l comp/y with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use On/y FEE �� ,� � PERMIT# _ -- E �� =�� 0�� Owne A orized Agent Si ure � Date (Revised 10/12/2015)