5706 SUNSET LN 2018-01-04 - Laserfiche WebLink

� • ELECTRICAL PERMIT APPLiCAT10N 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 PRt],J��T BITE:lNF'ORNIATIdN PRC7,��CT ADDRESS: � �'} ` �4��, '�" ��e BUfLDING AREA{if resldential, new construction,remodel,or additEan) SF BUILDfNG TYPE: 5FR-DE7ACHED ❑SFR-ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UN1TS: ❑ COMMERClAL USE OF BUILDING: ELECTRICAL'hE�PL�C�T�ON�'IN�CRM11;"'k'IQN CONTRACT PRICE OF WORK: $ (,� ,� NUMBER OF DEVICES if low volta e); FIRE ALARM? ❑YES ❑ NO A550CIATED BUILDING PERMIT#(if a plicable): DE3CRIPTION QF WORK: :` CC�1+�1`!'ACT tN1�tiF�Ik�A�1"It"i�f OWNER NAME, TENANT NAME If Commerai�t : OWNER MAILING ADDRESS: srReer � rJ'� p,, I.Q,IrLQ_ Cm ��'L-�1,.-L STATE W Y J' ZIP �U� I QWNER PHONE: �, � O$� OWNER EMAIL: CONTRACTOR NAME: � CONTRACTOR ADDRESS: sTR�ET � � �j�,)� CI?V � STATE �{' ZIP � �V� CONTRACTOR PHONE: G CONTRACTOR EMl4lLt , Vy1 CLINTRACT4R UC.�{F�EGIUIREi7:C.YYXh�. � �(�rl CITY OF EVERETT BUSINESS LIC.�REQUIR�L; Pt�11�fAi2`Y CONTACT: ❑OWNER CONTRACTOR ❑OTHER(Pfease SpeciTy) CONTACT NAME: CONTACT PHONE: �� G� D�� ! '��(e CONTACT EMAIL; � �t �'1tG� •C01� AGREE�fENT:I hereby certily thaf r have read and exemined 7hls appliceflon and know fhe same lo be frve end correcf. All piovisions ollaws and o�dinances goveming fhis lype o/work will be completed whelher specf�ed herern or�ot. The granfing o/a permff does not presume fo glve eu(ho�fy to v/olale or cansel the proWslons of any o�her state or locaf law regula[Ing constivetlon or fhe petformance ol consbucflon. That t am aufhorized by Ihe ownar o/IhIS property fo perform fhe work/or which applicetlon is made and( comply wlth the Sfale Contrac(ors Law t 8.27 RCW and 296.20D WAC. Clly o/Everett O/Ilclsl Use Only PERMlT# ��,`� ,��t.�> � lo�a7�t�` E �.� �0 - 22� � _ Ownarlquthorlxed Agent 3ignature T� Dale (Revised 9/23/2016J