Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov� www.everetfinra.gov/permits <br /> �.a-� -�'�-�ia.�j�k�i�'r„- ,v-''_g'Sc��.��^.��.� ` i tOS� �,";i;,. ,.;�1�.,�* �waa w2�` ypu{�" �,a' "rtw� i r i d i �I�Iil��h�h��i�y,,th .,�'y;F��iii�,u+ii4 � �`„�� . <br /> .�tia�:�t�.�o-�la�'�-�,`�„�'�'-�..�?��`�..�-.'�, ,'",.:�'��' ���Jrrv�PiWtlii�iii ��„ � ��F.muR��.�a'.�,�A rk ��s�J.�������������.��������hdh�������I���uNVii r = -'r: 7 t�i�ii.�.=����"c�.��U'c3�'�e'� . <br /> PROJECT ADDRESS: ��O3O EVeC'gl'e@Cl Wa�/, Everett, WA 98204 <br /> BUILDING AREA(if residential, new construction, remodel, or addition) ��.� SF � <br /> BUILDING TYPE: ❑SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX � MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL <br /> use oF Bui��iNc: Apartment Building <br /> ; LEGTRICAL'APPUCE4"E'I�N,;INFORNf�T10N`:; <br /> CONTRACT PRICE OF WO : $ 11, . 0 <br /> NUMBER OF DEVICES(if low vol D Lights with 1 transformer <br /> FIRE ALARM? ❑YES m NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): N/A <br /> DESCRIPTION OF WORK: Installation of 1 illuminated double faced monument sign. <br /> ���r. j� A �<< `�� co�Tacr�rr��i���ia��aN }` ,i <br /> 4 i�� <br /> OWNER NAME: Camelot Evergreen Delaware LLC TENANT NAME(If Commercial): Clfldy Lee <br /> OWNER MAILING ADDRESS: sTReeT 1140 Parkside Dr E <br /> cin. Seattle STATE WA ziP 98112 <br /> OWNER PHONE: 425.789.1600 OWNER EMAIL: ClCldyl p�eplCaSSet.COf11 <br /> CONTRACTOR NAME: VeC'tlCal VISUaI SOIUt1011S <br /> CONTRACTOR ADDRESS: srReeT 7036 ZZOtfI St SW <br /> c,n Mountlake Terrace STATE WA Z,P 98043 <br /> CONTw4cTOR PHONe: 425-361-1562 CONTRACTOR EMAIL: tbII1SCI1US q�V2C'tICaIVS.COt1l <br /> coNTRacTOR�ic.#�REQuiRE�>: VERTIVS910CZ CITY OF EVERETT BUSINESS LIC.#(REQUIR : 052132 <br /> r �. .a�U _ e� �.e �r, � <br /> PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-361-1562 <br /> Ty Binschus CONTACT EMAIL:tb111SChUS@V@ttICaIVS.COt1l <br /> AGREEMENT.�I hereby certify that I have read and examined this application and know the same to be true and correct. AII provisions of laws and ordinances governing this type <br /> of work will be completed whether specified 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 <br /> focal faw regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WqC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> i 5 � E l �o�- �02� <br /> Owner/ ut orized Agent Signature Date (Revised 9/23/2016) <br />