6625 BEVERLY LN 2018-02-23 - Laserfiche WebLink

:LECTRICCAL PERMIT AOILICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.govlpermits PR1JJEG T SITE INFOMA`ipi®; - PROJECT ADDRESS: 6 6 ZS b eV2 cLane v ve req F 203 den�( BUILDING AREA(if sia1,new construction,r� -W wmodel, or addition) ire m 0 ) SF BUILDING TYPE: ❑SFR-DETACHED 0 SFR ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: r'e-a2tcl ein Msec I .r DIM ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 6 dOO NUMBER OF DEVICES(if low voltage):, 6-- FRE FIRE ALARM? ❑YES ANO ASSOCIATED BUILDING PERMIT#(if applicable): / / l 1 DESCRIPTION OF WORK: Re126aee 2e)0 1ne f ( Cl >y)e-i e r r€f[4 e e ( ) (�FC Irc_p ,ct A 1 7 -IQ // (a) - X E 5 1 4 Li.P ei /`I^ / ) r rillt.V1: ; - .le CONTACT INFORMATION_. OWNER NAME: 7 ' . 4e-p TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 66 Z5 6€ver I l/ yl,e g� CITY / Lop- STATE (0V 3 ZIP OWNER PHONE: OWNER MAIL: CONTRACTOR NAME: O AAA 1-4-I/'t Mit rc V U, �f\-- � `0(,_) C rL� CONTRACTOR ADDRESS: STREET 12 2 S%/- 2- 1h VC TY ( ) 1'4IX. /U I\Ile, cn WV- STATE lig C.7 I CONTRACTOR PHONE: (42,5 7 3 7 14,9_1 CONTRACTOR EMAIL: evliZr I'(o(4)421 e c-i-r;C(T. 91410,/ co w1 CONTRACTOR LIC.#(REQUIRED): EN E R F-E 1 z le CITY OF EVERETT BUSINESS LIC.#(' QUIRED): ...0 PRIMARY CONTACT: ❑OWNER I CONTRACTOR 0 OTHER(Please Specify) I . .- CONTACT NAME: CONTACT PHONE: Cf ZS 73 7 qj- ( �` '' CONTACT EMAIL: �/ o �i Y` y �1circ i �; AGREEMENT:TAhereby 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 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE ( ( Ci _________ PERMIT# r Authorized Agent Signature Date (Revised 10/92/2095)