Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> /1111P/I‘S;-----4CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> t �' 3 4i+ s�9 1 4 s.`�s*,... `"?y ��':, ! 9. <br /> PROJECT ADDRESS: 2330 t Gx21J3y AV f= <br /> BUILDING AREA(if residential,new construction,remodel,or addition) 1 to,000 SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEfsV MULTI-FAMILY-#OF UNITS: S. 0 COMMERCIAL <br /> USE OF BUILDING: R2 <br /> CONTRACT PRICE OF WORK: 53v0 11' <br /> NUMBER OF DEVICES (if to voltage): 1-7 <br /> FIRE ALARM? �!YE 0 NO <br /> ASSOCIATED BUILDING P MIT#(if appli -. e): <br /> DESCRIPTION OF WORK: )4!rALL rsrNWES5gpt. $r2E ALARam -SYSTf�n-N <br /> yMcy ` Ot t Z:, , ».A <br /> OWNER NAME: STc 04 rit rraAc.N ill.Ov TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 2.501 Csm13Y Ar14. S' <br /> CITY gV uL.et:JT STATE WA ZIP SSI to/ <br /> OWNER PHONE: -7(►t7-t157 9 $ OWNER EMAIL SvrrMtT--C4.7tQS1avL.90,, AllCovh <br /> CONTRACTOR NAME: S H Frf2.t iANr) <br /> CONTRACTOR ADDRESS: STREET ?() $ox 371) Q <br /> CITY 7a.R..L.ING..7forJ STATE WA, ZIP ((22.3 <br /> CONTRACTOR PHONE: 4ZS' ZNt1 ,yy S CONTRACTOR EMAIL: ' c'1' fa gN H Fttf:Awm <br /> CONTRACTOR LIC.#(REQUIRED): B14F12-}4 84Z,1(..vp) CITY OF EVERETT BUSINESS LIC.#(REQUIRr I): °SVGS <br /> PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: H 2' LKN 1NII <br /> S$PP vSSf i24 CONTACT EMAIL: _*...hr":10-farpori P10-:E.. cote-% <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 1 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> - SO <br /> PERMIT# <br /> I7 E - a5 ( <br /> Owner Au horized A ent Signature <br /> g Date (Revised 10/12/2015) <br />