1819 13TH ST 2019-07-05 - Laserfiche WebLink

��L�c-rRicAL PERMiTA�Lic�-rioN CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov� www.everetiwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: (3'�'� S�- ��c� l.Sf4 '`y''IgZ27( BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDWG TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED- ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS: COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 1 � p °� NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES ❑NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: �O -� Ce7 uc -�- �G c' �GJ wt�� t'Q CONTACT INFORMATION OWNER NAME: ��}rJ /t>�.c 1 /V(,C�rC�, TENANT NAME(If Commercial): OWNER MAILING ADDRESS: s-rReeT �j�( Gi /-C'�C SG� '� � CITY �'1T�'�� STATE �� ZIP L ZJ�3-�^C`- OWNER PHONE: OWNER EMAIL: _ CONTRACTOR NAME: �G� ��eC.�l'� �-- CONTRACTOR ADDRESS: sTReer S tp�� f�� CIIY `e- � STATE �.t//Y' ZIP /�!V� CONTRACTOR PHONE: Zdr¢`��''SL80 CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): V'��EC'Z ��'IZ.M�� CITY OF EVERETT BUSINESS LIC.#(REQUIRED):��1�S P : .. .:. . .. . ... . .. _,.. ,. . . . . . . : . . RIMARY CONTACT: ❑OWNER ❑CONTRACTOR OTHER(Please Specify) ��t E.Lt,�rQ-� �pr`,/,+�ci.� CONTACT NAME: CONTACT PHONE: �4�, f-Qj�(�--•�.,�"'S'�?j �/�'S�r1 �=W(b�r'Le�(C� CONTACT EMAIL: � w1 , Sc�Ls1t�.��•I �I�`� . CB`'�l AGREEMENT.�l hereby certify that I have read and examined fhis application and know the same to be true and correct. All provisions of laws and ordinances goveming this type of work will be completed whether specifred herein or not. The granting of a permit does not presume to give authorify to violate or cancel the provisions of any other state or local law regulafing construction or the performance of construction. Thaf I am authorized by the owne�of this property to perform the work for which application is made and l comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# ��o ,8 E ��j b�-{f 6C� ( O r/Authorize ge ignature Date � (Revised 9/23/2016)