3406 ROCKEFELLER AVE 2018-02-23 - Laserfiche WebLink

14LT ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 FAX 425-257-8857 1 (E) everetteps@everettwa.gov www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 3 'jc3 Lic.C, J '06e c 0601 ,r' [/L2dn 4S zo BUILDING AREA(if residential, new construction. emode)or addition) / Y D O SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED I 'DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: PCC X ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ • NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES 51.NO ASSOCIATED BUILDING PERMIT#(if applicable): 0-1L, -vL , A ,A DESCRIPTION OF WORK: AjyJ, � clv,1Z1d?S ��F11�� /uc� (-jy . � LI24,1S k\t 4hL..) 1x/)4�ar►#J 4!A _ l tel< hellS ��r ett-S otse- Awa 11 C 'RCl; /toll AVVi /"yh+1 14/16_�' CONTACT INFORMATION 11 OWNER NAME: /20402" �/ )&/1t CS TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET If ` /201-1C-Il Act,./.N✓i- /404- CITY STATE !/V t"1 ZIP q 2 2(:5 / OWNER PHONE: i vz_O 5 3 p - 7'j 3 7 OWNER EMAIL: CONTRACTOR NAME: (p J7y}�� y��y }C CONTRACTOR ADDRESS: STREEP.O. �,� 3 g 5 CITY (/a��_l+�,�C If STATE ZIP S 7 2 CONTRACTOR PHONE(r1.0 tj 3 -- (' S CONTRACTOR EMAIL: ,12_�— j,pd, CONTRACTOR LIC.#(REEQUIRED): �oT7)�eL 4,7 y,v y CITY OF EVERETT BUSINESS LIC.#(REQUIRED):063 70 PRIMARY CONTACT: S OWNER 0 CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: Cyt 5, 5 30-_ 7 g 37 /iv/J y GN CONTACT EMAIL: C47 "S.AJ. (o." 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 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# /3 0 /� E \ OLT O Owner/Authorized Agent Signature Date (Revised 9/23/2016)