7908 20TH AVE SE 2018-03-27 - Laserfiche WebLink

ELECTRIC ri L PERMIT A ill:UUCCAT ON 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 INFORM«Tf -,:: PROJECT ADDRESS: 7-rz) s-, , cz).,,/., b--- BUILDING BUILDING AREA(if residential,new construction,remodel, or addition) ,,,) ,e-‘--(---.) SF " BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED ❑DUPLEX [MULTI-FAMILY-#OF UNITS: / 0 COMMERCIAL USE OF BUILDING: JI - f .W ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: ;y /)OS//1:- }/7e CONTACT-INFORMATION. : : :.. OWNER NAME.. `j�441�4:7-)7 e,c TENANT NAME(If Commercial): OWNERMAILLIING ADDRESS: STREET f_; 3%:" ,/ // /11 k/Y -,25 6-/ 8Yg f V CITYX1_ STATE tC?C g ZIP OWNER PHONE: •171:;?57 953 Qg/D OWNER EMAIL: CONTRACTOR NAME: //4 , '2 ' � � ) CONTRACTOR ADDRESS: STREET��4- y (/J Zz:p e- f 4 4CITY Gj' •� 2'e'h' STATE / '4=7__,2__..c- C1 ZIP / CONTRACTOR PHONE:/� t S ,1/// CONTRACTOR EMAIL: /let 4e ,.. /� ��// eye / ��d�� CONTRACTOR LIC.#{REQUIRED: CI OF EVERETT BUSINESSt1C.#(REQUfRED): PRIMARY CONTACT: 0 OWNER I 1 ONTRACTOR 0 OTHER(Please Specify) CONT CT NAME: CONTACT PHONE: ., .5—,j' d 2, b c i * r: -/a-2-g i CONTACT EMAIL: AGREEMENT."T hereby certify that I have rea.f.examined this application and know the sag .b:true and correct. All pr474,of laws and ordinances governing this type of work will be completed whether specifie. erein or not. The granting of a permit does not presume to give authority to violcancel 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 4 FEE PERMIT# E n \, ,-' ()C111 00),) &z/_Pr j/---- --/7 //( ..._, .vv,er/Authorized Agent Signature Date (Revised 10/12/2015)