3505 UPLAND AVE 2018-03-27 - Laserfiche WebLink

_ECTRICAL PERMIT AIALICATION CITY OF EVERETT PERMITS ICES �`� 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 ] (E) everetteps@everettwa.gov www.everettwa.gov/permits • PROJECT SITE INFORMATION; PROJECT ADDRESS: 3505- vfi JQL nO A vc V/e-re r. 9 03 BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES ,4 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: j Crime ?O(-A)eC a Ver l-Vefs For 416u) SPE. CONTACT INFORMATION OWNER NAME: 5CO`'� Re_ ) TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET /`33 9"777"4— j/e✓ /j�g CIN /77bvl (r'11€ STATE (A) ZIP 70 OWNER PHONE: yzc '( (5479 OWNER EMAIL: VVV CONTRACTOR NAME: W/51—CO g 1 ea-ink( CONTRACTOR ADDRESS: STREET 63 13a pI`Z 71-• f tie A]E CITY rVI a fv\I) 1 C STATE 14.J>z ZIP 9 76 CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): w j �g3cCITY OF EVERETT BUSINESS LIC #(REQUIRED): OJ 3a4) t,n. PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: 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 PERMIT# TOr 03///7.- c5)(,), E 1 (003 - 0 -7/-f ner Authorized Agent Signa Date (Revised 10/12/2015)