Laserfiche WebLink
LECAP":1CAL PE!MIT Ak r.--.UCAT ON <br /> - - CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> . PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: //Q( 6h\K-KSct 1 al-' E\/{'_fe-I <br /> BUILDING AREA(if residential,new construction,remodel, or addition) " .25,060 SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: COMMERCIAL <br /> USE OF BUILDING: We,t. o -4._ 5 lel r'11 t/\' <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ i 1 1000 w—' <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES ofNO <br /> ASSOCIATED BUILDING PERMIT#Of applicable): (� <br /> DESCRIPTION OF WORK: ?Pvvlc'saP \f\�lt ca he 1d t v,LtOre,s ci c test c yr e ,,J Z-XZ. <br /> L-tt h lCs(1\kLi. ' S <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME(If Commercial): 1, ,C ?ec.U"tk1 j )L <br /> OWNER MAILING ADDRESS: STREET JJ <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: aS 1 e C..A c kCC Q, SV e(3 A3 S.0 )tei2_J <br /> CONTRACTOR ADDRESS: STREET 2(S\1 $ rt... J <br /> CITY V eXIC" STATE \,\,)0, ZIP c% r)-3t <br /> CONTRACTOR PHONE: 426 -- 4. 2,-7000 CONTRACTOR EMAIL: r,)C',,,(V\(Z,�ra C LIC>,�'1-\\(ICI SC)�Oi-1()Li 3 a cc)(Vl <br /> CONTRACTOR LIC.#(REQUIRED): (,r lO Li 22 CITY OF EVERETT BUSINESS LIC..#(REQUIRED): 04122--' <br /> PRIMARY CONTACT: 0 OWNER IX.CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: �)a'5 O ' — CONTACT PHONE: 26=C/i 3( --3(c 6 1 <br /> CONTACT EMAIL: J00(v1 es<C/� C,'S Ltq ni wiCq Su\kJ tkcS.1 S r c.LWI <br /> 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 <br /> 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 <br /> 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 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> A PERMIT# <br /> �, 1 3 -2-n E nb3- <br /> D2S1 <br /> •, n r/Authori ed Agent Signature Date (Revised 10/12/2015) <br />