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

�ECTRICAL PERMIT AP�ICATION CITY OF EVERETT PERMtT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 � FAX�25-257-8857 � (E)everetteps@everett�nra.gov� www.everettwa.gavlpermits _. ._ _ _ _ _ ._ ___ __ _ _ _ _ ,_ _ __ , ' PROJ.EGT SI'€E:"��O1�NIi4TlON � PROJECT ADDRESS: '� �k\ '� BUILDING AREA(if residential,new nstruction,remodel,or addition) ' � SF BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX MULTI-FAMILY-#OF UNiTS: ❑COMMERCIAL USE OF BUILDINCa: � V ELECTRICAC ARPLtCAT.ION INFQRMATION ' CONTRACT PRICE OF WORK:$ NUMBER OF DEVICES if low voita e : FIRE ALARM? ❑YES NO AS$OCIATED BUILDING PERMIT# if a ficable : _ _-- DESCRIPTIQN QE,W�RK: 3�• C�L,$C� , � . �:�„ 1 �k � �� . � '3'�W l`� h} r . _ _ . _ CONT1aCT INFQRMA710N OWNER NAME: V�� Q.. � TENANT NAME If Commerajal}: OWNER MAILING ADDRESS: s-rReer O� ST � O ~, CITY STATE ZIP Q' OWNER PHONE: � Q, OWNER EMAIL: _.. _ .� � CONTRACTOR MAME• � ( CONTRACTOR ADDRESS: srneer � �, �.��n � t . CI7Y STATE ZIP CONTRACTOR PHONE: �� CONTRACTOR EMAIL: • � � ' � CONTRACTOR LIC.#(REQUIRED): � � CITY OF EV BUSINESS LIC.#(REQUIRED):` __, ___ PWMARY CONTACT: ❑OWNER ONTRACTOR 0 OTHER(Please Specify) _ CONTACT NAME: CONTAGT PHONE: � Q`� � CONTACT EMAlL: AGREEMEN7:•T hereby ce at t h8ve read and examined this application and Imow the same to be true and correct All provisions of/aws and ordinances goveming this type of work w8t be complefed whether speciFied herein or noL The granting of a permit does not p2sume to give authority to violate or cancel the provisions of any other state or locai law regula6ng cbnstnrction or the performance of construction That 1 am authorized by the owner of this prope�ty to perform the work for which application is made and I comply wifh the State Contractors Law 18 27 RCW and 296.200 WAC. City of Evereit Official Use OMy FEE � ��.�, PERMIT# �a �-� E � �b� ' 1 Owner/ t n Signature ate (Revised 1 0/1 22 0 1 5)