3200 CEDAR ST 2018-04-23 - Laserfiche WebLink

�ECTRICAL PERMIT �� LICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E)everetteps@everettwa.gov ( www.everetiwa.gov/permits _ ' ' PROJECT SITE INFORMATION: ' ' '� .. _ -�. � �.,,� �_ ,. ._<.�;� ,�a. �.��. .<< _�. �� . <. . �� , . .. ��. _, d�/s�-- �'ff'��/ PROJECT ADDRESS: � �� „�y�.�,�.�" �1. �� BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: e�. r,� %.e c� „ . , , ..: ;ELECTRICAL APPLICATION INFORMATION ` — . . ._ . ... . .. �.s,.. CONTRACT PRICE OF WORK: $ �/,�`��C,'� NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT# if applicable : DESCRIPTION OF WORK: d� CONTACT INFORMATION, ` OWNER NAME: TENANT NAME(If Commercial): OVIINER MAILING ADDRESS: s�e� �`- CITY j STATE ZIP �a OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: CONTRACTOR ADDRESS: s�eeT CffY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: C�4aAl3:kiAC.�LIC.#(REQUIRED): � CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: � CONTACT PHONE: `�� L� J�e�j�eet,��v��c CONTACT EMAIL AGREEMENT.•T hereby certify that 1 have read and examined this application and know the same to be true and correct All provisions of laws and ordinances goveming this type of work will be completed whether specified herein or not. The granting of a permit does not presume fo give authority fo violate or cance/the provisions of any other state or local law regulating construction or the performance of construction. That 1 am authorized by the owner of this properfy to perform the work for which applicafion is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Evereit Officiaf Use Only FEE � �2�j,°� PERMIT# _ /� E �� Own uthorized Agent Signature Date (Revised 90/12/2015)