7921 20TH AVE SE 2018-03-14 - Laserfiche WebLink

Jun 0517 12:18p Ferrin Electric Inc 42, 7746 p.6 : 4TiErr ELECTRICAL PERMIT APPLICATION 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 wvme.everettwa.govlpermits T .IN OJ �T. 1.. ...:...............,..-.:,. .. .... . �..... ._,.,_:.ter. ...T. .y :.1�.: .. ,•_. ... PROJECT ADDRESS: 19,),‘ , k0,14I •c1 £ 5 i L c 5 BUILDING AREA(if residential, new construction,remodel,or addition) as C 0 SF BUILDING TYPE: El SFR-DETACHED SFR-ATTACHED D DUPI`_EX MULTI-FAMILY-4 OF UNITS:__ El COMMERCIAL USE OF BUILDING: —TGFw VI lit,:) .� �.. _ P:LICAT OTI�':IN -:dRNIATION`' >•.<;•:•:,:_�, ..,:.,' s.r., �...�..... ELECTRI.CAL.'AP ,il. .,. , CONTRACT PRICE OF WORK: $ �) Sj`ID 0w 00, NUMBER OF DEVICES Of low voltage): FIRE ALARM? II YES IE NO ' ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: ' ;`11—C ,1'f4;4 +0Jw YI t'A ii st NFO AT ON:," OWNER NAME: N T OYtit,„1-11...i30,... i ,3i.14Aik LLQ"TENANT NAME(If Commercial): OWNER MAILING ADDRESS: smear 1 %(��}1}SW eNlit At1 Vi Ai • F CITY - C.44,1 w,, STATE l T i LG P l A 61+ ` OWNER PHONE: s at 53 Z3 0 lv OWNER EMAIL: CONTRACTOR NAME; c-f I's 1n ..1,E.0 Nii ( T CONTRACTOR ADDRESS: STREET 'POs .6 ox, I, % VL • CTIY l *t` \ STATES' zip'NO ), li CONTRACTOR PHONE:i). S 371-7 5 <5 CONTRACTOR EMAIL: (7- fi'bhe.k Cfa C.i\ryt ,Cowl 11 f. CONTRACTOR LIC.#(REQUIRED): -TQ•.c�i'C",j 93 9 i�.105,390-1 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): li PRIMARY CONTACT: 10 OWNER G CONTRACTOR ❑OTHER(Please Specify) CONT CT NAME: CONTACT PHONE: f . 5 5 CS 09 0I1� -t f 111 1 CONTACT EMAIL: \14 Y1 p ''1'Yl�d tali'•A .in( I(jt W\ k AGREEMENT:I hereby certify that I have read and examined this application end know the same to be true and correct All provisions of Jaws 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 taw 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 comply with the State Contractors Law 18.27 ROW and 296.200 WAC. '! f' (/ 5) I 7 City of Everett Official Use Only t_ li PERMIT# h . cl-,.._____ E `, o(0 -OS \ u OwnerJAuthoriz:Li 'gent Signature Date (Revised 9/23/2018)