801 75TH ST SE 2018-04-25 - Laserfiche WebLink

` �ECTRICAL PERMtT A�ICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-25T-8810 � FAX 425-257-8857 � (E}everetteps@everettwa.gov� www.everettwa.govlpermits P��3�iECT SI'TE`fN�RaYIA�ON � - PROJECT ADDRESS: • .� � __ .. , `� . �. ��)� BtllLD1NG AREA(if residen6ai,new struction,remodel,or addition) � � SF BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: � V EI.ECTRICAL APPLICATItfN iNFORM�A,T�ON ;, CONTRACT PRICE OF WORK:$ NUMBER OF DEVICES if low volta e : FIRE ALARM? ❑YES NO ASSOCIATED BUILDING PERMIT# if a licable : _____ DESCRIPTION_OF WORK: 3�• �L.$� � -��„ • � � o `�+V � \r \ ��3W L� �'�' �( � CONT��'t'1NF�i�MAT10N : _ OWNER NAME: `}�� Q,. � TENANT NAME !f Commera�ai): OWNER MAILING ADDRESS: s�eer Q �T � O '- CITY STATE ZIP �:' OWNER PHONE: n � OWNER EMAiL: _._ _ _ CONTRACTOR NAME• � , � f ._ CONTRACTOR ADDRESS: s�eer � `, �.�� . � � CITY � � STATE � ZIP . CONTRACTOR PHONE: �� CONTRACTOR EMAIL: � � � � ` CONTRACTOR LIC.#(REQUIRED): � � CITY OF TT BUSINESS 11C.#(REQUIRED):' �'j . _. _ _ PI2IAAARY CONTACT: �OWNER ONTRACTOR ❑OTHER(Piease Specify} � CONTACT NAME: CONTACT PHONE: Q" � CUNTACT EMAtL: AGREEMENT.•T hereby ce at 1 have read and examined this application and know the same to be trtie and correct. AN provisions of laws and ordinances goveming this type of work will be completed whetherspec'rt"ieci herein or not The granting of a pennrt does not presume to give authority to violate orcance/the provisions of any otherstate or faai law regulating consbvction or the peAomiance of construcUon. That/am arithwlzed by the owner of this properfy to perhorm the work for which application is made and I comply with fhe 5fate ContraCtors Law 18 27 RCW and 29G 2�WAC City of Eveiett O�ciat Use Only ,� FEE �5�, s� PERMIT# � ,� E � �e'� -li5 Owner/ t n Signature ate (Revised 10/12/2015)