2028 106TH PL SW 2018-04-25 - Laserfiche WebLink

�LECTRICAL PERMIT APPLICATION 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 �,� , . � _s�-_�_� _.:; �� -� ,� � y � _k��_ �� ' ' � � ��, ,./// . � .-a l� .,.,✓,.v� �..t�.�......:. . `�.s?�..::&!�'x,..'.'C�'.M'�.„ ..:'.._....� E'o�U. ""., ., __,. .. PROJECT ADDRESS: ZOZH �O6tI1 PL SW EV@C'@tt, WA 98204 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: Sf �IVI�I ��y',�^yy� 1■Y�� `uWiF � � �, .... ��517 f �E M\ 'F . ��11��1�� E�I�w,�1�� . �� \� .:I 4 S� \ ':;,,ti' ...L:.. .d i� @�.. ,,.uE.l�::. CONTRACT PRICE OF WORK. 1 OOO NUMBER OF DEVICES if low v Ita e : FIRE ALARM? ❑YES NO ASSOCIATED BUILDING PERMIT#(if applicable): �escRiPrioN oF woRK: 1 altered circuit for kitchen lighting ��E � �� _ � ��t " ., ��y�._.,.; . � � ,,.�, F. �C �... Ft�R �" ��y!�%�%'�ij� �. � �� ;�r .,:r� �. F .,.. ..� \ �� � OWNER NAME:BI�� TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTReer 2OZH �O6tIl PL SW �,n Everett STATE WA z,P 98204 OWNER PHONE: 4'Z�J.�JOH.Z2Z� OWNER EMAIL:n�a CONTRACTOR NAME: IIl HOUS2 EI2Ctl'ICaI S@I'VICeS, �11C. coNTwacroR an�Ress: STREET 1530 117th dr se �in lake stevens STATE Wa ziP 98258 CONTRACTOR PHONE:42'rJ.76O.3ZO3 CONTRACTOR EMAIL: II1@p@CCY11tS@gl'TlalI.00111 coN-rRacTOR uc.#�REQu�REo�: inhoues952qg CITY OF EVERETT BUSINESS LIC.#(REQUIRE �:0441 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 4.2rj.76�.32�3 kelsey coNTacr enna�:ihpermits@gmail.com AGREEMENT.•I 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 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 co tion or fhe performance of construcf n. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the St e Cont actors Law 18.27 RCW and 296. AC. City of Everett Official Use Only PERMIT# �� i�� E �� c� -- �� Owner/Aut orize Agent Si ature Date (Revised 9/23/2016)