505 WOOD PL 2018-04-05 - Laserfiche WebLink

ELECTRICAL PERMIT LCAT ION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 ] (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INF.ORMATIQN PROJECT ADDRESS: 30S L BUILDING AREA(if residential,new construction,remodel,or addition) 173 e SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: XCOMMERCIAL USE OF BUILDING: ASI P J °Pc► <: I to Air�-� ELECTRICAL APPLICATION INFORMATION y _r 7U� ...,�.� .... .. .... ..._5.. C..F-...i _. (�� ....... .. .,. ... < .., ..., ..v r .... tom.. CONTRACT PRICE OF WORK:$ rz[, 000 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: c-le ‹_A, `e,C4 .. Fog._ Ne. (�1 LO a CONTACT.INFORMATION OWNER NAME: 5L'(f% %C✓ psa_e LI_C. TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREEr 2.1 61 T eSv C C 15 • )CD CITY g 2�1LVSTATE ZIP 2� OWNER PHONE:ORA l(.1- -42,S_508 4 t3 OWNER EMAIL: CONTRACTOR NAME: Ka CONTRACTOR ADDRESS: STREET ) , ' �1 CITY e\iaLeNT STATE Lissi P ZIP 4c/S (::7 CONTRACTOR PHONE: LQ'—ss 7 .3 - / CONTRACTOR EMAIL: CONTRACTOR LIC #(REQUIRED): Assec.-s."-Ip G CITY OF EVERETT BUSINESS LIC NREQUIRED)O1 PRIMARY CONTACT: 0 OWNER 13tCONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: kkez 7 cs-1/44 2.8s9 fs`6-, AS5s 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 l comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE 4N5. 00 PERMIT# C) 1/16:1 E t 651 _ Owner/Authorized Agent Signature Date (Revised 10/12/2015)