|
�LECTRICAL PERMIT AP�LICATION
<br /> ClTY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT,WA 98201
<br /> (P)425-257-8810 � FAX 425-257-8857 � (E)everetteps@evere#twa.gov� www.everettwa.gov/permits
<br /> y��1 .t "�5� t��f f s x .1�,. 3 •� <�'�' f : 5+(� �4•'�' Y � � t�� ' �i � .� . r 3 tngc; d > f: ,ar L„, ,. <f rt`..P 8
<br /> {,.. ..,.�. , �>,.,,��F .�T�.X � .r.cw .1� k;�. } r.,.,��.�Y �, "� ��'��� '� . �,�w r ,.� ik:r x�' t ��r Y d�v
<br /> 3 �1.�. � �f� ,l �, u.5, ,-.? �j�
<br /> PROJECT ADDRESS: 27�� �Ztll 5t
<br /> BUILDING AREA{if residential,new construction,remodei,or additionj2600 SF
<br /> BUILDING TYPE: ❑SFR DETACHED ❑SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS:4 ❑COMMERCIAL
<br /> USE OF BUILDING: a artments
<br /> �. �, . 3 .. ..rr',: �IR�1.,������,�j�1�.���1AI���j� ��`'�n ��:Xf��IF'��� t4 li f,�:Z t� ;, � � 'Ry �Z
<br /> a i:� � �
<br /> CONTRACT PRICE OF WORK: $ 30,000
<br /> NUMBER OF DEVICES if low volta e :
<br /> FIRE ALARM? ❑YES 0 NO
<br /> ASSOCIATED BUILDIN6 PERMIT#(if applicable):
<br /> DESCRIPTION OF WORK: Change out lights and devices in all units, change out panels in each unit.
<br /> � � ��N"�"�►t�1�[��3��►'�'`��k� ` {
<br /> OWNER NAME:EV@Ye'�IlOUSlllg aUtIl01'I�i TENANT NAME(if Commercial):
<br /> OWNER MAILING ADDRESS: srneer 3��7 COIIJy aVG'11U@
<br /> �,,,. Everett STA,�wa Z,P 98201
<br /> OWNER PHONE: 425-25$-9222 OWNER EMAIL:
<br /> CONTRACTOR NAME: St@eI(.' E,'I@CtYIC II1C
<br /> CONTFtACTOR ADDRESS: S,�E�4722 Bayview Lane
<br /> �,�Everett STATE WA z� 982Q3
<br /> CONTF2ACTOR PHONE: 888-404-2882 CONTRACTOR EMAIL: travis@steeleec.com
<br /> CONTRACTOR LIC.#�ReQu�REo�: STEELEt841 CS CITY OF EVERETT BUSINESS LIC.#(REQUIRED):53663
<br /> .., u. � ,., . .a. ,, , ..�� ,. �.� . _._.._. .,�.. . ... ._.,.., . . ..,,_ „ � ,.�.u, .._.�..
<br /> PRtMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify)
<br /> CONTACT NAME: CONTACT PHONE: G1,2rj-$76-74.$$
<br /> Travis Steele con�rncT EMaiL:travis�steeleec.COfTI
<br /> AGREEMENT.•I hereby certify thaf/have read and examined fhis appficafion and know the same fo be trua and correct. Al(provisions oflaws and ordinances govaming this type
<br /> of work wi/t 6e completed whether spec�ed herein or not The grarrting of a permit does not presume to give authority to vio/ate or cance!ihe provisions of any other state or
<br /> local law regulating consttucSon or the pe►formance of construction. Thai 1 am aufhorized by the owner of ihis property Yo periorm the work for which appficafion is made and l
<br /> comply with the Sfafe Contraciors taw 18.27 RCW and 296.200 WAC.
<br /> City of Evereit Offcia!Use Onfy
<br /> PERMIT#
<br /> /�/ E 1� --1� Z
<br /> Owner/A �z Age Signature Date (Reviser!8/23l2018j
<br />
|