2315 CEDAR ST 2018-01-18 - Laserfiche WebLink

• �ECTRICAL 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: ; �' •`�.�,:'.� `�' (',.L:�' ; a � =i c "'�,��, BUILDING AREA(if residential, new construction, remodel,or additio ) i SF BUILDING TYPE: E�SFR-DETACHED ❑ SFR-ATTACHED ❑ D LEX MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: �a.:�y�� 1-•-,�:1 ` f�L ry1� ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ i! � NUMBER OF DEVICES (if low volta e): FIRE ALARM? ❑YES C�7 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: T;'' .h � 1+�,< < thl/ ^ ;..c. t ; ' ��'ticc� r�1 CONTACT INFORMATION OWNER NAME: K'�>��C �� `� TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srReer i'lj�� 1��7 �v` �'� �t' ciTv �j� �11C'�"l+`�°\ sTnTe In%'1'� ziP C` '�� OWNER PHONE: � Z� QU L OWNER EMAIL: �''�.:�ifS � � � �`'�r' ,L c7 �"'� CONTRACTOR NAME: 1�/ r j�c tr � "i rYt� . CONTRACTOR ADDRESS: srReer �'��'�(:l j z 5"�''' tl�`C -`->r CITY ��c."r� STATE �,.(/I� ZIP� � � CONTRACTOR PHONE: �' � k'� � CONTRACTOR EMAIL: %' `� 1.,,�' �"X4. � •L (�L c� (,r� •�( ,C � CONTRACTOR LIC.#(REQUIRED): j�1�4.��..�'��,`.�i, � � CITY OF EVERETT BUSINESS UC.#(REQUIRED): PRIMARY CONTACT: OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: AGREEMENT:I hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances goveming this type of work will be completed whether specdied 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 1 am authorized dy the owner of this property to perform the work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and 296_200 WAC. -- City of Everett Official Use Only � � PERMIT# � _____ E �s �� 0 � � _ �� - � _ , l� 'wner/Authorized Agent Sig ure Date (Revised 9/23/2016)