8304 XAVIER WAY 2018-02-12 - Laserfiche WebLink

• • 4rETT 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: '3 30 y x f i Vi Ca. L/✓ily BUILDING AREA(if residential, new construction, remodel, or addition) SF /0 BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: S/Cie/kr, '1.4 h 5 ELECC 1RICAL APPL ATION INFORMATION CONTRACT PRICE O' ORK: $ 7S . D 6 \NUMBER OF DEVIl ES (if low voltage): FIRE ALARM? W YES i • ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK d!' a 2./41 5H6-D CONTACT INFORMATION OWNER NAME• /n eAa Id7P{aG "0 TENANT NAME(If Commercial): OWNER MAI ADDRESS: STREET PO 13 D ). 7 31 -7 L.CITY NN U-)Ood STATE 0,1 6:5-11 ZIP 'rig V3c OWNER P ONEaOCr) 9- Cil(f� OWNER EMAIRcC cQS`< c._u k COirrNuu.:* ,,2,-0.—"1/4--- CONTRACTOR NAME: 0 019---- CONTRAC OR ADDRESS: STREET CITY STATE ZIP CONTRACT R PHONE: CONTRACTOR EMAIL: CONTRACTO LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CON ACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAM • CONTACT PHONE: CONTACT EMAIL: AGREEMENT I hereby 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 lam 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# E 1�k o — lam( 0 ..,,,z„0-,.- Signature a e (Revised 9/23/2016)