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

� �, �LECTRICAL PERMIT AP ICATION C1TY OF EVERETT PERMIT SERVICES 3200 CEDAR�STREET, EVERETT, WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E)everetteps@everettwa.gov] www.everettwa.govJpermits ,. .. .. � .v. . . ,. ..._ PROJECT SiTE INFORMATION'.` ': -. ... � __ ,_ . . ; PROJECT ADDRESS: ��' s� � , ` ('�� BUILDING AREA('rf residenSal,new construction,remodel,or addition) SF � BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATfACHED ❑DUPLEX I�MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDlNG: (f L .� � '� ,. ; .. � ,,. � ; . ' , ELECTRICAL APPLICATION I�IFORMATION ` ; ,. : , .. . . . _. . _�. . .. . : .;: CONTRACT PRICE OF WORK:$ �""" . NUMBER OF DEVICES(if low voltage :> FIRE ALARM? ❑YES ❑NO - ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTfON.OF WORK: C.�C b�1 ,�Sry�7� �.� � .t. .: . . .,. _ . _ .. _ ...: . . _ .. . - . , ... : ,. . CONTACT INFORMATION . _ ,.. :.. . _. , . . .. . - .:.... OWNER NAME: ��(��G ' TENANT NAME(!f Commercial): ( OWNER MAILING ADDRESS: srReFr� -��.� S CITY STATE'W� Z1P . OWNER PHONE: OWNER EMAIL: .. ... . ...... .. . ..., . . . .., . ,. ,.. ,. ... . . ...�.. . . . , . .. . ... . ... . .. .. . .. _. ..w. ,. ... ... ,.. CONTRAGTORNAME: �pr(r "�" 1�J '— V�,C.�S CONTRACTOR ADDRESS: Z �� V� � � ��lacw�,�n�, r�.tS �t �a,E` W -' ZIP CONTRACTOR PHONE: LIr2�^L7 C�`-S Z CONTRACTOR EMAIL: -� �—tJ .`3 Z'� +L�,�� y,� CONTRACTOR LIC.#(REQUIRED): � � � Fl/l,3 CITY OF EVERETT BUSINESS LI.C.#(REQUIRED):OS PRIMARY CONTACT: ❑OWNER ONTRACTOR V��OTHER.(Please Specify)� CONTACT NAME: CONTACT PHONE: ��Z��Z2� • ,..,! C��L NE�(� CONTACT EMAIL: sC,/J (o3Z$ �. �451�1 � Gn,�,J�� AGREEMENT.�T hereby certify that i have read and examined this application and know the same to be true and correct. All provisions oflaws and ordinances governing tliis type of work will be completed whether spec�ed herein o�not. The granting of a permit does not presume to give authority to violafe or cancel the provisions of any other state or local law regulating construction or the performance of construction. That!am authorized by the owner of this property to perform fhe work for which application is made and 1 comp/y v✓ith fhe State Confractors Law 18.27 RCW and 29G 200 WAC. City of Everett O�cial Use Only • FEE � �� S C� PERMIT# � �-� �� -�� E �� Owner/Au�hor' d A nt Signature Date (Revised>0/i2/20>5)