411 94TH ST SW 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 * ,,; ._- PROJECT 0 0'. NFO MATIO PROJECT ADDRESS: I ... 141 ' ^= rt 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: a�';'),-','',,i, '/ ,...4,,?-,,, �..,, ,si i +,. .., 5. P a x. 5 ".85. . .. ,.. CONTRACT PRICE OF WORK: $ , NUMBER OF DEVICES(If low voitaie): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#?(If.applicable); DESCRIPTIO pF WORK: / ff Er, to A;0 0 4 ,'_ w. { --WdiOWNER NAME ' I TENANT NAME(If Commercial: OWNER MAILING ADDRESS: STREET L'tI ( `' CITY t STATE 1l? ZIP�. OW1ERPHONE: 14at 3144 i " OWNER EMAIL. CONTRACTOR NAME: *A CONTRACTOR ADDRESS: STREET CIN ' „"' STATE ZIP CONTRACTOR PHONE: 0 CONTRACTOR EMAIL: I' "4t.TWI—ti.'%) it4P6 .'+ t,; .fr CONTRACTOR LIC UIREoj i •V ^•' CITY OF EVERETT BUSINESS LIC, (FIEQUIR Ogg PRIMARY CONTACT: 0 OWNER .`: ONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: AGREEMENT T hereby certify that!have read and examined this applicationand know EMAIL' same to be true and coorrecctt provisionslaws an " ,. c s.g v AIL• of and ortt�� l�+ .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# ► DSIL„ E tce ( o — ooS Owner/Authorized Agent Signature Date (Revised 10/12/2015)