25 E MARINE VIEW DR 2018-05-24 - Laserfiche WebLink

c�ECTRICAL PERMIT APr�ICATION 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 PROJECT ADDRESS: � �_�-�� ,/,Y� e � y� �,�1 �'(�� BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: �COMMERCIAL r USE OF BUILDING: �,N ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ ��j(� �, CicJ NUMBER OF DEVICES (if low volta e): FIRE ALARM? ❑YES �NO ASSOCIATED BUILDING PERMIT# (if applicable : DESCRIPTION OF WORK: i � � Q�. � P e ` Q ' � �2 ' P � e � e " r � e� ' CONTACT INFORMATION OWNER NAME: f� Ovv Q � /1� TENANT NAME(If Commercial): �'� � et f,r OWNER MAILING ADDRESS: sTReeT Q Z CITY v� �� STATE � Z�P [ ZO OWNER PHONE: YZ S'Z S /'3/l OWNER EMAIL: CONTRACTOR NAME: �- � �/U CONTRACTOR ADDRESS: sTReeT Z( � e CITY STATE ,/�� ZIP � � CONTRACTOR PHONE: �Z S - ��D `7 CONTRACTOR EMAIL:�Q�� ►�,�V�/� CONTRACTOR LIC.#(REQUIRED):�� O � CITY OF EVERETT BUSINESS LIC.#(REQUIRED):OSj3,3Q , PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Piease Specify) CONTACT NAME: CONTACT PHONE: ZS—So� �(S�Z 7 7 �P� ,I�j �,Y��Z CONTACT EMAIL: eyt D�N vv �CO� AGREEMENT:I hereby certify that I have read and examined this application and knowthe same to be true and correct. All provisions oflaws and ordinances goveming this type of wnrk wi/l be comp/eted 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 local law regulating construction or the pertormance of construction. That 1 am authonzed by the owner of this property to peAorm the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only n�� PERM IT# ��-�-�� E � C� l l- o�°I ner/Au ed ent Signature Date (Revised 923/2016) ��I ✓