2517 HOWARD AVE 2018-01-09 - 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.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2 ~ �J �ry Wav' . L�l� , L V e�L ( C/ �jO� BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-AlTACHED ❑ DUPLEX �MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: J� �-� �y� ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ (�� NUMBER OF DEVICES (if low voltage): FIRE ALARM? �.YES ❑ NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: U S �v�t� ��" E'C" o✓ CONTACT INFORMATION OWNER NAME:1�� 1 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: {r\ JC (�,I � P.G' Y I C CONTRACTOR ADDRESS: sTReer Z Z U � �. �e0{/-' E� � ci7v Q(l�yY1Gi srnTE � ziP �"�O L CONTRACTOR PHONE: Z ��'Z U"bC��17 CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): � � CITY OF EVERETT BUSWESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: ��3.-Z��.� �p�.! G E� , �( ��l CONTACT EMAIL: AGREEMENT.I hereby certrfy tha I have read and examined this application and know the same to be true and correct. All provisrons of laws and ordinances governing this type of work will be completed wheth r 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 I am authorized by the owner of this property to pertorm the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use On/y PERMIT# �� - �� E I� 0�1 � b��l Owner/Authorized Agent S' ature Date (Revised 9/23/2016)