2314 HOYT AVE 2018-05-21 - Laserfiche WebLink

�-_�� 1 R'�H� ��I1l1' 1 � ��'�� CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits PROJECT SITE INFORNiAT10F1 PROJECT ADDRESS: �.?j � L � _� %/ BUILDING AREA(if residential, new construction, remodel, or addition) �� v�� SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-Al-fACHED ❑ DUPLEX �MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: f• ni,�,� ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ �j J G) NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑ YES ❑ NO ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK: - ' t..� • G CONTACT INFORMATION OWNER NAME: � �� • TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTReET CIIY STATE i��T ZIP OWNER PHONE: �.Sil OWNER EMAIL: CONTRACTOR NAME ...... , ... .. _� ,._. __. .. _.� . ..,. . . . . � l � �/'.��G �� - CONTRACTOR ADDRESS: sTReeT S� ,�L 'J T f� � � CITY�J STATE �/� ZIP CONTRACTOR PHONE:L�� s G�/,f ,��'/ CONTRACTOR EMAIL: � , � �T/'.�G �,� ' I�1 CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): �-�/�� .... ..,.. ... _ .,.:. ,.•-=, .,.. .._ ...__ :. ..._ _ .,. :...:. _ . ...... . :....:.. .,..� .......,. _. ... ... _..._:,.. ,......-.. . ..._� ....:.... PRIMARY CONTACT: �OWNER �ONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME; CONTACT PHONE: � � �� 5 �'� �� / ( CONTACT EMAIL: � • � s AGREEMENT. T hereby certify that f have read and examined this applicafion and know the same fo be true and correct A/l p�ovisions of laws and ordinances governrng this type of work will be comp/eted whether specified herein or not. The granting of a permif does not presume to give authority to violate or cancel the provisrons of any other state or /ocal law regulating consfruction or the performance of construction. That I am authorized by the owner of fhis properfy to perform the work for which application is made and 1 comp/y wifh the Stafe Contractors Law 18.27 RCW and 296200 WAC. City of Everett Official Use On/y FEE \ � � .�,�� j , PERMIT# � �� ' l � ��l � � �� --�"�� , Owner/Authorized Agent Signature Date (Revised 10/12/2015)