1305 57TH ST SW 2018-04-25 - Laserfiche WebLink

�LECTRICAL PERMIT AP�ICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits , ry d � Y ,e� 6 A'�f.. .. , � � �� - �� ��' u'�. ' �� PiiQJ � �� T� s�v a� � z e r - ..:§H. ,�._ v�?"�.: �:.��a�� .�ka'�, ...... . .:. ,,,.,-.�. . .: , .,.. . . , , . � � .. ....... : . . ,,,,..... :.� ..� PROJECT ADDRESS: �`'�O �"'��'�'. �'j.w �(�. �� uy� `� e.�,L�✓ 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: ��S � � ��,� �� _ �_ �' :. EL C� IC�AL AP�PLICATI�O '�JNFO �M ;TION'�� 4� �, � � : , ' s ��`�; .::. ��.. .a�� K� .F,�.�__ m� <. , . u�....._a . ... , CONTRACT PRICE OF WORK: $ � �L NUMBER OF DEVICES (if low volta e): FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: F�� C�-�t/ C C /�'C!�C ! �: , = = CdNTACT�MN�ORMATION , �. .,. . ��., h.. ' _� " x . ,�'�..P-, OWNER NAME: � -�? �1'"d U�� TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srReeT I�n� �� "�'• eS W • UC�1'� � CITY�i�j�if�-�) STATE W 1 � ZIP � O a►�.7 OWNER PHONE: ��-�}$q "'77'�7 � OWNER EMAIL: �►-- _ _.. ... . . CONTRACTOR NAME: �Q C'G � �-�G:�C-t � C�. CONTRACTOR ADDRESS: sTReer ��-{�,� i�1� n � Sfi � �-� CITY � �V� � J STATE �'r) ZIP�t�0 a- � CONTRACTOR PHONE: �(p�� °"�{�'I'a.9 CONTRACTOR EMAIL: C;q, �. ��p - a C.r� CONTRACTOR LIC.#(REQUIRED): O a�„ 3 1�, CITY OF EVERETT BUSINESS LIC.#(REQUIRED):�o��Sq �,t� PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: fi y CONTACT PHONE: 3 J�-.- � .f �'�� / ��,j,(S CONTACT EMAIL: AGREEMENT:I hereby certi(y 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 rype of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancei 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 property to perform the work for which application rs made and I comply with the State.Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only J PERMIT# ��i� E �� ` �� Owner/Authorized Age t S' nature Date (Revised 9/23/2016)