1909 WALNUT ST 2018-02-09 - Laserfiche WebLink

• J ELECTRICAL PERMIT APPUCCATION EFir7 - CITY OF EVERETT PERMIT SERVICES C =moi 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECTSIITl� IIIMFORMATIO PROJECT ADDRESS: 1O 1 Q\Y\vl'- c- 1 (,VA c(g)-o( BUILDING AREA(if residential,new construction, remodel, or addition) SF BUILDING TYPE: ❑SFR-DETACHED 0 SFR ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: D COMMERCIAL USE OF BUILDING: S •i-‘ \L_ _Cc '�� IELECTRIICAL APPLIICCATl©Ge9 OG�I OOI lfI1i- I!1ON CONTRACT PRICE OF WORK: $ ' - NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): ` r DESCRIPTION OF WORK: l4t.c. �tT 4►-i p C(vc�f put ± 1_,\ A j Ocie 5�at,�.� - 3�il,Ay —77 CONTACT II, FORMATION OWNER NAME: TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: . CONTRACTOR NAME: Cc , �� CONTRACTOR ADDRESS: STREET eP• ,k 44,a-< c.:t kc I4tc.. CITY STATE WlA— ZIP 734-7 CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC #(REQUIRED): d PRIMARY CONTACT: 0 OWNER NTRACTOR 0 OTHER(Please Specify) x. CONTACT NAME: CONTACT PHONE: `f3$- 373 % Grt=rc=� S< w,� + CONTACT EMAIL <�c:� Sc..\X e C AGREEMENT:T 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 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 l am authorized by the owner of this property to perform the work for which application is made and t comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE 41) \, o b / I + PERMIT# 4 41, t-) E 2-006 Ow Aut o-. ized Agent ature Date (Revised 90/12J2095)