515 VERALENE WAY SW 2018-04-13 - Laserfiche WebLink

ELECTRICAL PERMIT ¶ LIICATON CITY OF EVERETT PERMITVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425•-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwagovlpermits iic .+y+. r.µ • ��U>� fit' �` PROJECT ADDRESS: 5/5 O6116 (.•'A y" BUILDING AREA(if residential,new construction,remodel,or addition) //i K SF BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED ID DUPLEX 0 MULTI-FAMILY-10F UNITS: El COMMERCIAL USE OF BUILDING: S / 64,E /AIL/IL'Ili AeSiO6n6C .to�:�RlII� t 1Aq 1y.P� •�p� y■ //S�gy :r�lP��.�.t�.� :s,l.:"' _f4•, 4 -C•F a:l,M.s�.d:_ _....:Y_t-::,:.<F:d.::��::'La�:i':-:_:2•i. ::b'^,v ti.:::.,.ice:�ci.•�.y:., .. ._ ... �, CONTRACT PRICE OF WORK:$ 6-Goo NUMBER OF DEVICES (if low voltage); • FIRE ALARM? ❑YES A NO ASSOCIATED BUILDING PERIIIIIT#(if applicable): DESCRIPTION OF WORK: Acc— V11144.06 6,b. I ccr(cr -ee•• l r()'?vrs✓6.5 1 tk (�✓GlZljab� . `CT INFORMA;TIOid _4'.. _. : . ,... ..:.. OWNER NAM 6/(,Eo,./oi AJ ,jf Ci &..r-t-Ld_ 6 r!S TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET ,S`G i,q p 4°*' S cc t CITY J at)'T"1"1-6? STATE (.j 4t ZIP ( e o L 6 OWNER PHONE: ci S—--2.Li j O /9,3 1 OWNER EMAIL: 0 715 . 41./A-6 1... O i/tit,,61 Z ce, .�... .. CONTRACTOR NAME: /069ItN "' L.A&J C.411-'47— CONTRACTOR ADDRESS: 4rL4CONTRACTORADDRESS: STREET /t/.7- Y/ C.-exeNel/i)U(t;(.F —001-0 Lc 24Ali /a PI° do( CITY v� r ry V d L L.6 STATE 4*4 zip er CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LTC,#(REQUIRED) /OLP/rut L Sz. � J�� CITY OF EVERETT BUSINESS LIC.#(REQUIRED): — x— PRIMARY CONTACT: 0 OWNER pCgONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: Z.r ( —6 5' —,/967 (G AdL /Lx rig,-5 4 tt° CONTACT EMAIL: /ca'frz 6 A:._.•09% C G .✓019 ALC 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 orthe 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 1W) \ 0)3., PERMIT# k�! / - , iZ /2_o/ E1 Owner/Autliorize• - Signature Date . (Revised 90/92/2095)