4322 29TH DR SE 2018-04-16 - Laserfiche WebLink

047, tLECTRICAL PERMIT AP1PLICATION 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 I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 4.17422 966-hr E - /- 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: -5t7)549 -#414-11121:9 CONTRACT PRICE OF WORK: $ ,6-00 44) NUMBER OF DEVICES (if low voltage): ne, FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 4e01 696 Vet- 4--Sibe ,663,(6 k CONTACT INFORMATION . OWNER NAME: i , /-1 et 05 C /I a TENANTNAME(If Commercial): OWNER MAILING ADDRESS: STREET 4/ c22.. 0294t- r CITY U e 1"eAl+ STATE 14-. ZIP g(263 OWNER PHONE: gO6..._ 317-77/7 OWNER EMAIL: CONTRACTOR NAME: L L CONTRACTOR ADDRESS: STREETW 9?..3 Au e. tc..) CITY ( 1144-- STATE 04 ZIP (9 6 CONTRACTOR PHONE: 0266.--r., a/7 CONTRACTOR EMAIL:det4ase lecfric se.r Pee t CONTRACTOR LIC.#(REQUIRED): A-ht E 4. 9/ ?ri 13 CITY OF EVERETT BUSINESS LIC.#(RERUIRED): PRIMARY CONTACT: 'ID OWNER , CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: ' --- , d;)Ittit lb Liefs- CONTACT EMAIL:ekeiv iler 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 o • 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# Ow r/Authorized Agent Signature Date (Revised 9/23/2016)