1506 BAKER AVE 2018-01-17 - 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: � � � � � C f ��' � � BUILDING AREA(if residential, new construction, remodel, or addition) � �SF , � ; BUILDING TYPE: � SFR-DETACHED ❑ SFR-ATT�ACHED ❑ DUPLEX ❑ MULTI-FA ILY-#OF UNITS ' ❑ COMMERCIAL USE OF BUILDING: � �� j ...� — -�-- �- ELECT�I.GA PLICATION INFORMATION CONTRACT PRICE OF WORK: $. ` ; c"� - __ _-- NUMBER OF DEVICES (if low vo __.---- FIRE ALARM? ❑YES NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRI TION OF WORK: '� (� (� �� ,� � � , CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srReer i � ,�,t� )` CITY STATE ZIP C�'!SrJ� � OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: ( � �Q i CONTRACTOR ADDRESS: sTReeT � • CITY (� STATE L� ZIP !• CONTRACTOR PHONE: '7�I CONTRACTOR EMAIL: C �p� � � � J l CONTRACTOR LIC.#(REQUIRED): ��(��S�/ � CITY OF EVERETT BUSINESS LIC.#(REQU ED):� PRIMARY CONTACT: ❑ OWNER CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: � � L — CG� r� S �Y''�A CONTACT EMAIL: C �,_ �� - AGREEMENT:1 hereby certify that I have read and examined this application and know the same to be true and correct. All 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 pertormance of construction. That/am authorized by the owner of this property to pertorm the work for which application is made and I comply wifh the State Contractors Law 18.27 RCW and 296.200 WqC. '� City of Everett Official Use Only / PERMIT# ;` ,� - � . � E �.t� t 0 -C�o 2 - �- ner/Autho ¢e ent Sig atu Date (Revised 9/23/2016)