710 91ST PL SE 2018-04-05 - Laserfiche WebLink

grr PECTRICAL PERMIT APOPICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT ADDRESS: 11 D 9I s� FL_ se BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: � ' r' 1:11111•111•1111111111141:01301i.,, ti ..,._,..,cf.�r..,. ..._i,o- ri,,,-,,,,_,� ..,.,.,,.,.,G,,,,.,.,...i., ,�'�oii�i, CONTRACT PRICE OF WORK: $ /00 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): pp'' DESCRIPTION OF WORK: -1-67)k- fo t .ot .t;711 J O CONT CT SAT OWNER NAME: lac Ll.t) .j asS y�TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET /� �} �p CITY AlSTATE Y V & ZIP 1 t o OWNER PHONE: 2.01.e . I-h et • sq I OWNER EMAIL: .CONTRACTOR NAME: f A 'ttkit t..* -hiwvu-- 1 St)Lu_kfUY1S CONTRACTOR ADDRESS: STREET e6 11"R CITYLAartIj STAATEWCk. ZIP 41V2 - 0 CONTRACTOR PHONE: 500 - (LC-& " © CONTRACTOR EMAIL: I/Afi)(ZG CONTRACTOR LIC.#(REQUIRED): rOCITY OF EVERETT BUSINESS L #( QUIR ) , Ll PRIMARY CONTACT: 0 OWNER ,,CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: S100 , j� . 1 ,i 11�� cALA. 6R NY �^L CONTACT EMAIL: � rk.(((�'C r AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct. 111 provisions of aws and ordinances goverg 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 PERMIT# 411400P � 4 �-� E \ t?2,(b Owne!•uthorized Agent Signature Date I (Revised 9/23/2016)