2406 106TH ST SW 2018-04-25 - Laserfiche WebLink

06�14I2017 14 : 00 #2285 P. 0011001 �ECTRiCAL PERMIT ApPLICATIOIV CITY O� EVER�T7 PERMIT SERVIC�S 32�0 C�DAR STRE�T, �VERETT, WA 9820'! (P)425-257-8810 � FAX 425�257-8857 � (E)evereiteps@everEttwa.gov� www.ev�rettwa.gov/permits pR�J��T.:S�T��INFORMAT�ON.;, ' PROJECT AUDRESS: � O l O Lt h S � BtiIEAIN�ai�eA(if residential, new constructlon,remQ�ei,or addition) SF BUILDING TYP�: Cl SFR-��TACHED ❑SFR-ATTACHED ❑DUP�F�C ❑MUL71-FAMfRY-#O�UN1TS: L7 COMM�RCIAL USE OF BUlU]ING: . .. � = .Ei.�CT.itICAL-APPI.ICAT10l� INFO�tMAT'10N . . . CONTRACT 1'RIC�OF WORK:$ sb , NUMB�R O�p�VIC�S if 14w valta e : FIR�ALARIIA? ❑YES ❑ NO AS50CIAT��] BUILDING PERMIT#(i�a licable): p�SCR1PTION OF 1NORK: ,IIJ ��l �I 12. � � ' . ,CQNTAC� �NFORIMI�TION. ' owNER NAME: �,( T�NaN'r NAME If Comme�ciaq: t?WN�R MAt�ING ADDR�SS: STREEf ciTr S7aT� ziP OWNER PHON�: I OWN�R EMAIL: CONTRACTOR NACN�: ^ ..� CONTRACTOR ADDI2�SS: srReer GYY STATE ZIP �4fi� C�I�tTRACTOR Rl-kONE. .Z..` � CONTRAC70R�MAlL-= CONTRAC70R LIC.#(R��uIR�P): L�IV J�cI� I �L CIYY�P�V�R�TT BUSINESS LiC.#iR6QUlR�!]): �36 PRIMAR'Y CONTACT: 0 OWNER ❑CONTRACTOR OTHER(Please Speciry) _f CONTACT NAME: p CONTAC7 PHONE: �,1� ' � ' Z � � Q��G� '�6��f U J CflNTACT EMAIL: �i 8 � �Q i AGREEMEM:•f hsreby ceKlry that!have rasd and aXamined this appfication and know th�samo to De true antl co�recf, AA provlsions oPlaws and urdinanc�s goveming ff1i�type of worx w�u be compleled whether sFecified harein or no� The granting of a perr»i[Coes not presurne tv glve aythoriry to vio/ate or cance!the provisians of any other siate or locaf!aw r�u/ating construction o�fhe performance af construc#bn. Th�t!am authorized by 1he ownar of this pmperty!a perfarm ths work for wnich app!lcailon Is made and7 compfy W/th tlle StBte COI1tlaCfo/5 l.dW 78.27 RCN/and 296.200 WAC, City of Eve�rdtl0fflcra!Use Only �� PERMIT# �. � E �,-10(�r � l� 3 Own /Authorizatl Agent Signature Date � (Rsvised 9P23/2016)