7025 MORGAN RD 2018-05-30 - Laserfiche WebLink

grr ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I vwvw.everettwa.gov/permits PROJECT SITEINFORMATION PROJECT ADDRESS: 7 b 2E3 MaV..G**1 P-C) BUILDING AREA if residentia, ew construction, remodel,or addition) 1 G SF • BUILDING TYPE: 0 SFR-DETACHED SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 1OOQO NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES `EQ NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: p( (L ex)c,r1NG PhN€L, pAuEL r lA�1G� CONTACT INFORMATION OWNER NAME: 3-VV OP irk NAME(If Commercial): OWNER MAILING ADDRESS: STREET"1(7-J VON S�Q CITY I'-\. STATE V ZIP C162C2-.S OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: p EU Qj 1tj �DiS / CONTRACTOR ADDRESS: STREET 04 1 J I CITY 'N(`I/OC\f)1 SH STATE \AllA ZIP CONTRACTOR PHONE: 2.‘510, 5)(?),-051-55 CONT TRACTOR EMAIL: l/ CONTRACTOR LIC.#(REQUIRED): (es9 O-3 IDN CITY OF EVERETT BUSINESS LIC.#(REQUIRED): Vk D-1 ( PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR Ll`OTHER(Please Specify)J 2 7XJC/i 1 CONTACT NAME: CONTACT PHONE: (2o y) 5,gj - (5133 DAVT CONTACT EMAIL: AGREEMENT*I hereby certify that l have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type 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 local law 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 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# z� f� E / -7D7 -1 Owner/Authorized Agent Signature Date (Revised 9/23/2016)