1011 NORTH PARK DR 2018-07-11 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov( www.everettwa.gov/permits '7, t E ` 1" p4 OR; 1 +N PROJECT ADDRESS: BUILDING AREA(if residential,new construction,remodel,or.addttion SF BUILDING TYPE FR DETACHED 0 SFR-ATTACHED ❑DUPLEX 0 MULTI FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: CONTRACT PRICE OF WORK: $ E Oo ' NUMBER OF DEVICES`(if low VOita e): FIRE ALARM? ❑YES 300 ASSOCIATED BUILDING PERMIT#;Ira.®ticable•',: .6: t OWNER NAME w KF.W. - 's'"0-1,,,,,e,� `t 3 rt�'i 'i- _. t TENANT NAallf"Commerclai ER MAILING ADDRESS: STREET1,0tielfh t- Dr- , OWNER PHONE 5j 5; cQsg2,. OWNER EMAIL CONTRACTOR NAME Cx nD9 CONTRACTOR ADDRESS: srrtEEr �• � q 20 'WY leitie..a40 CONTRACTOR PHONE e1 :.exik #7.te.40. CONTRACTOR EMAIL 49 ',00 "...:. , -46 g:A jta,ir A,9. ,r% 40"teVt s' `° '" OR LIC;:o E+ Ui bb, 611 . ' ** a CITY OF EVERETT BUSINESS Lit=#01QUIREO)t 1 ,:a..40 PRIMARY CONTACT: 0 OWNER (CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: 'CONTACT PHONE. Q5 oTto I •W ie CONTACT EMAIL ,_ .,0 coryl AGREEMENT:I hereby certify that thave read and examined this application and know the same to be true and correct. All provisions ns oflaWs 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 298.200 WAC. City of Everett Official Use Only PERMIT# OwttecfAuthorized Agent Signature: Date (Revised 9/23/2016)