1211 DONOVAN LN 2018-05-14 - Laserfiche WebLink

�E�T'RICAL. PERMIT A�ICATION CITY OF EVERETT PERMIT SERVICES 32Q0 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E)everetteps@everefitwa.gov� www.everettwa.gov/permits ; , . _ �. : : ' - PR.OJECT SITE INFORMATION:,: < PROJECT ADDRESS: �Z�I I�'J�°�� +� �ve�t�- �nJ�'°L6'ZU f BUILDING AREA(if residential, new consfruction, remodel,or addition) (ZGP'I,aol2[ SF �°° BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATfACHED ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: W�e(L OG - ��i G�e�i�/�9 L .., _ .._ . ; ELECTRIGAL APPLICATION INFORMATION' '; CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES Cl NO ASSOCIATED BUILDING PERMIT#(if applicable): (� �G b � "�°� DESCRIPTION OF WORK: �Q!��. �-� � L �5 , : � CONTACT INFORMATION. . ' OWNER NAME: �e �,� Y�P—��,�/�J TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTReET lZil t�i�.Jp� „� �� .2G'I'?- STATE ►„J A. vP ug'�c 1 OWNER PHONE: OWNER EMAIL: W ;,�J ,Q�aW� � ,cn�1 CONTRACTOR NAME: CONTRACTOR ADDRESS: s-rRe�- ci7v srn-re ziP CONTRACTOR PHONE: CONTRACTOR EMAIL: ' CONTRACTOR LIC,#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Piease Specify) CONTACT NAME: CONTAGT PHONE: � < CONTACT EMAIL: AGREEMENT.�T hereby certify that I have read and examined this application and know the same to be true and correct. A!l provisions of/aws and ordinances goveming this fype of work will be completed whether specified herein or not. The granfing ofa permit does not presume fo give authority to violate or cancel the provisions of any ofherstate or local law regu/afing construcfion or the performance of construction. That!am authorized by the owner of this prope�ty to perform the work for which application is made and/ comply with fhe State Contractors Law 98.27 RCW and 296.200 WAC City of Everett Official Use Only FEE � 1,��. � PERMIT# E l l�l2- l�� O er/Au4horized Agent Signature Date (Revised 10/12/2095)