7510 OLYMPIC DR 2018-05-30 - Laserfiche WebLink

ELECTRICAL PERMIT AFIPILICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 (E) everetteps@everettwa.gov I www.everettwa.gov/permits - PROJECT SITE INFORM ACTION PROJECT ADDRESS: 7,/0 ©lyinipi'c 1:261:26L/ci E V e,re r1 tJ IA/'- BUILDING AREA(ifeside ,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX ,MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: . ./V'Til, ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 9 /. 017© NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES ASSOCIATED BUILDING PERMIT#(if applicable): p DESCRIPTION OF WORK: a0 C�t 1 &,h " V�r�I tC cf1/c eb- CONTACT INFORMATION OWNER NAME: citt-sh.et TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 7510 0 l yYkL�Ji� cm' YeY��` / STATE V A- ZIP 98. 59 OWNER PHONE: 2-0 2.4 4i. g3 OWNER EMAIL:.. `` CONTRACTOR NAME: AIC C h a 1 pC/,(�/` 1 C_ CONTRACTOR ADDRESS: STREET / O 2_2._T''h CITY "111 oza yl1. e- Y evicet.v/c STATE tryr}l' ZIP 5P01/3 CONTRACTOR PHONE: 2- 05 CONTRACTOR EMAIL: C e C - tom owi ret y 7 . 01/l, F ��j CONTRACTOR LIC.#(REQUIRED): C , .L 1 ff f,L MCITY OF EVERETT BUSINESS LIC_#(REQUIRED): PRIMARY CONTA/` NER ONTRACTOR 0 OTHER(Please Specify) CONTACT NAM . CONTACT PHONE: a_p 6 6, 1. d // l U.17 1 `r CONTACT EMAIL: ,e_c- kyt C.19 Ej1 AGREEMENT:T hereby certify that!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 lam authorized by the owner of this property to perform the work for which application is made and! comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEEL oo PERMIT# E ‘%0 '264 ice/ • Owner/Authorized Agent Signature ' Date (Revised 10/12/2015)