2615 97TH PL SE 2018-04-05 - Laserfiche WebLink

LECTRICAL 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 SITE INFORMATION PROJECT ADDRESS: 2 f6 "' ',-h Pt BUILDING AREA(if residential,new construction,remodel, or addition) f'6 SF BUILDING TYPE: `SFR-DETACHED 0//SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: S r�o2o-c�2 5 ked ELECTRICAL APPLICATION INFORMATION' CONTRACT PRICE OF WORK:$ \ratV Ivy NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES W40 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: /N-5114-f'Q Ca-eie 19-004 hovigt eee-e-421e /4/1/ e 7Lo -f i CONTACT INFORMATION . OWNER NAME: L74 jam(* 6:/4D!/_/t•«r TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2 6/S_ 977/47 f'L CrrY c- Ve- c�� STATE ZIP VI(3j2 OWNER PHONE: 4264' - Vier- �'9g OWNER EMAIL: 04 E G, l;44 d7K/Kl! 6p Lt?cL CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): a�,.,�-...K.,...,w..s,.Nnw.�.r.......,._ .p..:.�.,.................zv,..,......�....,.,,.. .,,�..,,.��_.....-,.,�....___,.,...,._ W.,,v....�.,�<..x.,...��_ r.,.:...�, ..,.W��,......,.....�.� .�.,.w:� _.....�...� .�......,..,r_.�.�.�.: PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 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 oflaws 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 tam 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# 06. /3'1 z2/7 E 1D(e137 Owner/Authorized Agent Signature Date (Revised 10/12/2015)