4311 TERRACE DR 2018-03-13 - Laserfiche WebLink

OFEE7T INLECTRICAL PERMIT PLICATION 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.gov/permits / PROJECT SITE 1NFORM�ATION: PROJECT ADDRESS: �/?7 r! fj f7(1 . 12r (G`Crc/ f{ (iii 9 r Ako BUILDING AREA(if residential, new construction,remodel,or addition) /3"00 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Aes,sele i41—.,a/ ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ $ '7 &'O NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES O ASSOCIATED BUILDING PERMIT#(if applicable): n / DESCRIPTION OF WORK: (Oel, �7 APLGr)°t! a0 p1,oo S i(d F,z7, `4I 1-lu4.---,S'( CONTACT INFORMATION OWNER NAME: >41,0,6, 4,7704p(o f/ ANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET Sot Corfer�C,Cv/ CITY ,(�j�/{��(7` ' STATE ZIP 9,f-2403 OWNER PHONE XO 50 0 z 7/ OWNER EMAIL: /h try( Q ,"�S(�,� Gf S CONTRACTOR NAME: /14 4/e /e >//'j C , 4C nn ` CONTRACTOR ADDRESS: STREET /7 51 1- A 0 rk /✓Y 5 L CITY 607-Xe/I �/J STATE ZIP ("tali_ CONTRACTOR PHONE:4/407-- S "yr e S$ r r CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): /70 i3L CCi 6 l(0O CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 051-0'3?"- PRIMARY CONTACT: 0 OWNER ,CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: t-/,Lc G7/t S C n6/ Vei.4 CAr1/k 1 r h CONTACT EMAIL: dOvt 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 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 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 FEE A PERMIT# EI ,�p2- \ Owner/Authorized Agent Signature Date (Revised 10/12/2015)