4407 THOMSON AVE 2018-02-09 - Laserfiche WebLink

•4rerr. ELECTRICAL PERMIT A'LICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I vwvw.everettwa.gov/permits /� PROJECT SITE INFORMATION PROJECT ADDRESS: ' (')7 // YI�1 BUILDING AREA(if residential, new construction, refnodel, or addition) SF • BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: t , ELECT'ICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: net.) S 114 CONTACT INFORMATION OWNER NAME: 614, TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET .ligo 7 --he1c-wpsr 4U( CITY EUV re/Z/ - STATE it.)4. ZIP OWNER PHONE: 3 7_ ,C-- 02'�5 OWNER EMAIL: J CONTRACTOR NAME: 1)44ii e% !'(/•��,�Y�[�. r �C C f J CONTRACTOR ADDRESS: STREET �//�QQ9 O ,X 4u e IAV. CITY 1l feUn r /kQ /�J �^�l'Q�e e STATE (/ / ZIP 9186 �g3 ttt CONTRACTOR PHONE: CONTRACTOR EMAIL: • CONTRACTOR LIC.#(REQUIRED). EE . q1gCITY OF EVERETT BUSINESS LIC #(REQUIRED): 357 PRIMARY CONTACT: OWNER D CONTRACTOR ❑OTHER(Please Specify) CONTACTE: CONTACT PHONE: .. eVO 7h 9 0217;Z- lok. CONTACT EMAIL: c/ fl1Ckelect ie. Se r'UiciQq , (Dont- AGREEMENT:T hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordrnaeces 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 I am authorized by the owner of this property to perform 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 Only FEE (-4S PERMIT# � � � E / O •-r/Authorized Agent Signature Da.- (Revised 10/12/2015)