5832 OAKES AVE 2018-05-30 - 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 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE iNOoknouvrioN PROJECT ADDRESS: S (�a ce Av.( BUILDING AREA(if residential, new construction, remodel,or addition) )2C.90 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: -�' CTRIC APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ SE NUMBER OF DEVICES (if low voltag : FIRE ALARM? ❑YES ie., • ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Ro► 6ct40.1 ox- lL266 J% SgR i4p edILr CONTACT INFORMATION OWNER NAME: tUtCc s'•(11(4 \ i TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER(6)147414-A45 _ EMAIL: CONTRACTOR NAME: �LVesky E 1, (-e Q/ U6n 1741 `� ' in LL CONTRACTOR ADDRESS: STREET 220 4 (o ck, �j CITY Lk, S VS STATE 14F ZIP 9:5'23"0 CONTRACTOR PHONE: V25-266-26 CONTRACTOR EMAIL: UAL,S/C'ek_67 tee_ki .(M CONTRACTOR LIC.#(REQUIRED): SEC p p��g' CITY OF EVERETT BUSINESS LIC.#(REQUIRED): Sre;60 PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME:�,,/ CONTACT PHONE: ins-766-2 )S ) VQ�4v1 W[/ CONTACT EMAIL: RL,jeSLc�„ 4/1 Qin-y:011 e- -et AGREEMENT:I hereby certify that I 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# E Co O� Owner/Authorized Agent Signature Date (Revised 9/23/2016)