6317 WETMORE AVE 2018-02-12 - Laserfiche WebLink

r i air ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 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 PROJECT SITE INFORMATION PROJECT ADDRESS:[ 5\ 1(. 0 YLt-C'0 BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: ] SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ /L' NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT#(if applicable): �( DESCRIPTION OF WORK: tiU t-j l`_�t/l� `a- 1 l; V-Y) JJJ _(tuI) L Iti-� V01<)-e—e—Lo CONTACT INFORMATION OWNER NAME: IiK.JLA-1.e, l \J TENANT� , NAME(If Commercial): I& OWNER MAILING ADDRESS: STREET � 1,434 0`Q_ yyam,.,, CITY FA) STATE IV✓l ZIP 1 D `T OWNER PHONE: 155 • •CI)I21 OWNER EMAIL:y- CONTRACTOR NAME: ( .. {; Yl T +�.0l YYlX. (±r. K L, CONTRACTOR ADDRESS: STREET IO gce, y g 717 � /I CITY !../ Ltu, STATE Y V v t ZIP 2; L CONTRACTOR PHONE: ,L2C ( B CONTRACTOR EMAIL: I Vit &) , � I,, i,. CONTRACTOR LIC.#(REQUIRED): '�1 `C Vt �l ''_> t" CITY OF EVERETT BUSINESS LIC.#(REQUIRED): C 7 ✓p PRIMARY CONTACT: 0 OWNER `RI CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: _ � �' l Y��t�� ' CONTACT EMAIL: 7/./yv_ C tit=Ir t1 0,34(-) ) AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct. A provisions of laws and ordinances governin 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 PERMIT# 111 E Owner/ uthorized Agent Signature Date (Revised 9/23/2016)