805 112TH ST SE 2018-04-25 - Laserfiche WebLink

'F �LECTRICAL PERMIT APPLICATIt�N 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 . . , . . . , .._ .. PROJECT SITE INFORMATION':' _ ._ ::. .. .._._. . ..., ,. _. . , - - PROJECT ADDRESS: �'T' s� � ` !�Z� BUILDING AREA{if residenSal,new construction,remodel,or addition) SF � BUILDING TYPE: L7 SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX faMULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: f f�, .� �l � , .,>., . .. . .:.. -_ ._ � . :: ELECTRICAL APPLICATION INFORMATION .. . . ., .. . .:. . . > .. _.. . . ..., CONTRACT PRICE OF WORK:$ . NUMBER OF DEVICES(if low voltage :� FIRE ALARM? ❑YES ❑NO - ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION.OF WORK: C� b�1 ,asry�7t� C� �. ..�- _; . _ . ' CONTACT INFORINATION , _ _.. _ > .. OWNER NAME: �j��G ' TENANT NAME{!f Commercial): ( OWNER MAILING ADDRESS: s-rRE�r�� -�l Z''� S , . CITY � . STATE'W�. ZIP � OWNER PHONE: OWNER EMAIL: .. ... . ...... .. ., .... . . . .., .. ,,. .. ... . . . ..�. CONTRACTORNAME: ��r(� "'�" I�J � VI.C.�S CONTRACTORADDRESS: Z�� V�' � . � s CID7f'C�� '"�'�S � STATE �J ^ ZIP CONTRACTOR PHONE: Ck2�^L,U�`SZ CONTRACTOR EMAIL: -� �t'-� .4�Z'� e�� ,,.y� CONTRACTOR LIC,#(RE(1UIRED): ��c �j c� `l/l,3 CITY OF EVERETT BUSINESS LIC.#(REQUfRED): PRIMARY CONTACT: �p OWNERN ONTRACTOR ��OTHER(Pleas w e Specify) CONTACT NAME: CONTACT PHONE: �—.-Z��{S-L,ZL � C)�L• N�JC� CONTACTEMAIL: .3GN �032�� @ �4St�l � Ge�'W�, AGREEMENT.•T hereby certify that l have read and examined this application and know the same fo be true and correct. Ali provisions oflaws and ordinances goveming fhis type of work will be completed whether spec�ed 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 locallaw regu/ating construction or the performance of construction. That l am author¢ed by the owner of this propeity to perform the work for which application is made and I comp/y wifh the State Contractors Law 18.27 RCW and 296 200 WAC. City of Everett Official Use Only • FEE �� ~� `./ PERMIT# �-.�_ L2- �3 -�,.� E l C� ( 2 - 0`�3 Owner/Author' dA ntSignature Date (Revised 90/>2/2095)