6920 SEAWAY BLVD 2019-07-08 - Laserfiche WebLink

/14P1. ;:::A ELECTRICAL PERMIT AP. LIGATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.govlpermits PROJECT SITE INFORMATION PROJECT ADDRESS:4. Va0 cwt,(( Vj\v y> e\ayeil W-(}'t 55 7-0 3 BUILDING AREA(if residential,new construction,ryodel,or addition) lk`?0 7 SF L(I.1=•c- BUILDING TYPE: D SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX D MULTI-FAMILY-#OF UN TS: COMMERCIAL USE OF BUILDING: 6 G� ( ''/1P 'W iict. V - 1�\ELECTAPPLICATIQN INFORMATION CONTRACT PRICE OF WORK: $ L.13 1 / SC) ' a NUMBER OF DEVICES (if low voftag- ; . jl FIRE ALARM? 0 YES 71 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: -maiCra 0 TO CA r ? t,-1, 1-N-1--C- '\)0\i•) ,-1, 1fizL-LIoW 7 1A.Cirk \t L&-] - 4 a 9 •(- 1_-- I . I CONTACT INFORMATION OWNER NAME: -fl w - o—i t)0- TENANT NAME(If Commercial): a `"'4 .Ar__? . OWNER MAILING ADDRESS: STREET IJ t.C/ Ce4)1/4WR;A V 9 eV'*�,2- j V'4 i1/44t- CITY J STATE ZIP OWNER PHONE: liqic 1-j'4(Q • 1(?,�� OWNER EMAIL: 11\10---T. �F J •(DIA CONTRACTOR NAME: `; CA O� aiuG -1 [ C— O v p � N G-- CONTRACTORADDRESS: STREET 15. )2.3 �� '�Ott-- ,3----c. �f�( �(} j�JyJ Ij�S cITY • ,/ 0 STATE �('A d\ ZIP 4tt0 / CONTRACTOR PHONE: jilt/ j }� I t4ebb 01CONTRACTOR EMAIL: t1`., �/' , 1146.- C. CONTRACTOR LIC.#(REQUIRED): 1PrI l��tI"I' CITY • OF EVERETT BUSINESS LIC.#(REQUIRED):Q 11$Q PRIMARY CONTACT: 0 OWNER ' OONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: .- CONTACT PHONE: �,QU. v1C Tb0eb -7;�t YAVA—NF--- +�CONTACT EMAIL: prsP_1 U4C. , tAlt AGREEMENT.'Th�reby certify that!have read and examined this application and know the same to be true And comell provisions-r!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. Thal 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 16.27 RCW and 296.200 WAG. City of Everett Official Use Only FEE 4 I'521 r2 PERMIT# .4pub_ t „tr i~enadature Date (Revised 10/12/2015)