721 90TH PL SE 2018-04-05 - Laserfiche WebLink

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 www.everettwa.gov/permits 7080-jtatAllitit1000041rION PROJECT ADDRESS: 1 it '1. #L.5 BUILDING AREA Of residential,new construction,remodel,or addition)r------ SF' BUILDING TYPE:ASFR-DETACHED_ 0 SFR-ATTACHED 0 DUPLEX ❑MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: - z, � r- L IC ► ,P :1*i1O ION CONTRACT PRICE OF WORK: $ 2.5.0Ejd NUMBER OF DEVICES(If low valtaje): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if appllable,' DESCRIPTION OF WORK: OWNER NAME . 5th TENANT NAME(If Commercit OWNER MAILING ADO SS: STREET. .,.,... CITY..: _.. STATE •T " OWNER PHONE: Ott CI 104 , OWNER.EMAIL: CONTRACTOR NAME. tryk ykizzefi0 CONTRACTOR ADDRESS: STREET 1415 ta. STATE "" ZIPgla 20 14x. 0� CONTRACTQREMAIL� rvf CONTRACTOR PHONES " CONTRACTOR LIC REQUIRE#) 't% 'Id et CITY OF EVERETT BUSINESS LIC #(QVIRED) j.470 PRIMARY CONTACT: 0 OWNER lasCONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: ci ' -' I • IQ CONTACT EMAIL: A ' man abry, AGREEMENT:I hereby certify that(Awe 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! comply with the Stale Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# E 0C OwrtaWAoAlt.died Agent 5tgnatuDate {Revised 9/23/2016)