1117 MAPLE ST 2018-05-22 - Laserfiche WebLink

��ECTRICAL PERMIT APpLICATION 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 INFORMATION PROJECTADDRESS: v�t ('9 . ��' -`�ti"�.'.K' ='r"i L�✓ BUILDING AREA(if residential, new construction,remodel,or addition) �C.� SF BUILDING TYPE: SFR-DETACHED ❑SFR-ATTACHED O DUPLEX ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDiNG: �'� � Y � ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: a . i';� .i",., NUMBER OF DEVICES if low volta e : '� � FIRE ALARM? ❑YES NO ASSOCIATED BUILDING PERMIT# if a licable : DESCRIPTION OF WORK: ,,, �� 4.f,-,c� - � ,- , j . CONTACT INFORMATION OWNER NAME: •�.�ir� � 1 . TENANT NAME If Commercial : � ' OWNER MAILING ADDRESS: s�eer CITY '[ ' �t I!� STATE ZIP `� � OWNER PHONE: ��EG' �,�j OWNER EMAIL: r I��f•:, ' C.^ :�1 „ti c,� I• '�'�*-'l CONTRACTOR NAME: f'� , �a �'I` �,'' .-�,'�y jQ✓ ;,� 4 :� CONTRACTOR ADDRESS: s�eeT ��n' srnre zir CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.�l(REQUIRED): PRIMARY CONTACT: �OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: ' r' :� �,7 ^._,, CONTACT EMAIL: ��, n 6"v- ?, �.-,. � �, � � �, wr�� 1• c:� ...-, AGREEMENT:l hereby ceRi(y that!have read and examined this applicafion and know the same to be true and co ct. All provrsions laws and ordinances goveming fhis type of work wiU be completed whether specfied herein or nof. The granting of a permit does rrot presume to give aufhority to violate or cancel the provisions of any other state or local!aw regulatrng construcfion or the performance of construction. That 1 am authorized by fhe owner of this properfy to perform the work for which application is made and l comply with the Stafe Contractors Law 18.27 RCW and 296.200 WqC. City of Everett O�cia!Use Onfy PERMIT# �,% ��,,� ' c, E J ,� � _ �.�, G� Ow r u rized Agent S' nature Date (Revised 9/23/2016) / �%