2927 WETMORE AVE 2018-02-12 - Laserfiche WebLink

/1"z%,-- ',ELECTRICAL PERMIT PPLICATION 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] www.everettwa.gov/permits PROJECT SITE INFORMATION'. PROJECT ADDRESS: L� ' 1 J -4 J �/ BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED ❑ DUPLEX 0 MULTI-FAMILY-#OF UNITS: )4OMMERCIAL USE OF BUILDING: Cp rre fyj,{� ////// �`��` ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ i 2 • NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES >4110 ASSOCIATED BUILDING PERMIT#(if applicable): �. DESCRIPTION OF WORK: E(e.L-ki c€ L 0fre� 6`L�' s� l CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: (�l-r'`(c t W f ,9A J 4‘..t.-C17.21" £1,(A! /1/4„1/1'(- CONTRACTOR ADDRESS: STREET p Q, aox 11 2-7 kill' q G CITY 54'11)"LOI/t,.15 A STATE ZIPO lC) CONTRACTOR PHONE: 125— 760 4/417 Q CONTRACTOR2EMAIL: (\ 5,cific.rJ() L pn"t n iii. CONTRACTOR LIC.#(REQUIRED): C NAM 6 C M p S✓O CITY OF EVERETT BUSINESS LIC.#(REQUIRED) 02_1919 PRIMARY CONTACT: ❑OWNERI a CONTRACTOR El OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: If L-,S -7(p `'f /7 I V l ` )Q(A-cit rJ, CONTACT EMAIL: so AGREEMENT:Thereby certify that I 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 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 296200 WAC. City of Everett Official Use Only FEE di CI PERMIT#t 11 2- 5-(0 Owner/'uthorizedA,ent ignat re Date (Revised 10/12/2015)