2720 RUCKER AVE 2018-02-23 - Laserfiche WebLink

#1111P44 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 1 www.everettwa.gov/perrnits PROJECT SITE INFORMATION PROJECT ADDRESS: i BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX 0 MULTI-FAMILY-#OF UNITS %COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATIONINFORMATION CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: . . +! t }r ht r itui4± pump CONTACT INFORMATION OWNER NAME: t'--r TENANT NAME(f Cotumerclal): OWNER MAILING ADDRESS: STREET 1720 RucKeJ" ..-.a CITY ef•t_t-t STATE zip qg 20 / OWNER PHONE: I.425 24? IO 440 OWNER EMAIL: CONTRACTOR NAME: = ►; l,{ CONTRACTOR ADDRESS: STREET V 1AL1-.��,y�j fO 44,(t j�,,_ cwr t+r „.F..X„ STATE VA" ZIP ci3.20 CONTRACTOR PHONE: 10 ( 'CONTRACTOR EMAIL: d e tl klea-l-,— g r ` KO CONTRACTOR LIC.*REQUIRED):C the. t(6-1 CITY OF EVERETT BUSINESS LIC.*REQUIRED): LQOj PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 359 1 & oie CONTACT EMAIL: obi - Vttct-i AGREEMENT:I hereby certify that I have read and examined this application end 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 slate 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# Feb'64' (t-ttlie) lb' 3i ► E - 2[4 Owner/Authorized Agent Signature Date (Revised 9/23/2016)