11401 3RD AVE SE 2018-04-16 - Laserfiche WebLink

SOL ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT SITE __ I 'NJJFORMAATION PROJECT ADDRESS: (tit O1, ..;P> t c' .DG__S)tG1G�p1 L. BUILDING AREA(if residential, new construction,remodel,or addition) JJ SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELE( TRiciAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ `/260 ," NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 4ECNO ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK: , F, 12 dim- W ttet&I f'.eveke II 1¢_s t Li � / f�ctcic j Lb> v,' - teid/a '/ r CONTACT INFORMATION OWNER NAME: / �,�� TENANT NAME(If Commercial): OWNER MAILING ADDRESS: olio I 7j&I) (4-ve J. Q Eve�Uue�{-- STATE /,4,f- ZIP %,9ZQB OWNER PHONE: L2`3/la-51611 OWNER EMAIL: ass'\'V .V1�.f2V- rvier11YV1Cir"e� llgact-,O.lf24,e.;E'f':af CONTRACTOR NAME: WY&'L a. CONTRACTOR ADDRESS: J��/2 O A_ W AAste, F aV�/�,g 33z- �j` E tiAr t STATE a sig-J ZIP 782 o 7 CONTRACTOR PHONE:P o 6- 45!-141 SO CONTRACTOR EMAIL: neoih Mired rii 4-t I1r,.wck CONTRACTOR LIC.#(REQUIRED):10.LRE bp.L.,9(o I Q'\ CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: 0 OWNER ,CONTRACTOR 0 OTHER(Please Specify) *lO 02, 1132, Sad CONTACT NAME: 1(e/ejvi �l/�/�ar.v e CONTACT PHONE: 0040-'0040-'0,355! •-4115 CONTACT EMAIL: AGREEMENT:I 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 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 PERMIT# <t: tb-t)6/ kf—L3 o 7 08 E 1 (60# ' Owner/Au orized Agent Signature Date (Revised 9/23/2016)