2514 RAINIER AVE 2018-02-23 - Laserfiche WebLink

tLECCTRQCAL PERMIT ATFL CATION LL,:y CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 J FAX 425-257-8857 J (E) everetteps@everettwa.gov J www,everettwa.gov/permits PFU JECT SITE IINIFOil MATI +� .. . - PROJECT ADDRESS: .,-,25111 ,1( �, - ��`�j BUILDING AREA(if residential,new construction,remodel,or addition) remit oclC_\ SF ,'BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED ID DUPLEX 0 MULTI-FAMILY-#OF UNITS: COMMERCIAL USE OF BUILDING: • LIECTRICALL.APPLICATION INIFORMATItN CONTRACT PRICE OF WORK:$ I j 06,0 NUMBER OF DEVICES(if low volta ): FIRE ALARM? AYES ❑NO ASSOCIATED BUILDING PERMIT#(if ap a le): DESCRIPTION OF WORK: 1ke1( C ict S S C ✓�-� S CONTACT Il; FORMATION ;OWNER NAME: aVore V�jC L 4toc I TENANT NAME(If Commercial): ./VCr}-�� ,11,'l..J IQ, 111. OWNER MAILING ADDRESS: STREET C C9C`� k- . ', CITY - C-e.�#- STATE 77 WA ZIP c( OGG OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: *` , k EL t✓' L._. CONTRACTOR ADDRESS: STREET t — a VA! t ern' 204ce*. STATE W((` ZIP g- CONTRACTOR PHONE: I..) zs—g-76-•7 U gz CONTRACTOR EMAIL: 7(7Vf5@ 5+-a CQ ec. k _CI i- CONTRACTOR LIC.#(REQUIRED): Sr 1 j y t L 5 CITY OF EVERETT BUSINESS L1C.#(REQUIRED)PS-3Cp�, PRIMARY CONTACT: 0 OWNER IXCONTRACTOR 0 OTHER(Please Specify) M W CONTACT NAME: CONTACT PHONE: if,),S"' g'7 .-7L s 5 0CS JT� �Q CONTACT EMAIL: Q C S.'Lee(t% C' { 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 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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE / f PERMIT#4- 41116 7/2W/1 Owner/Author' ed Agen Signature Date (Revised 10/1212095) ((2