4007 FEDERAL AVE 2018-06-07 - Laserfiche WebLink

r,/za, tLECTRIC A L PER- AT 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 wvwv.everettwa.gov/permits P s JECT SITE INF a Allan® PROJECT ADDRESS: //D 6 I Fe Qc'a\ 4 U 2., vr t 9 td.O i. BUILDING AREA(' residential, wconstruction,remodel, or addition) SF Aaa - n-I- '? Fao r)11-2-t tr BUILDING TYPE: El SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: - EI-CTRICAL APPLICATION INFQRMAT ON CONTRACT PRICE OF WORK:$ S 6-6- NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: \ Ate UJ (`1,"p C.LA 1-4. t c C D:,►L'��-e..SS /1-74..41 p Adl C D Y1 j f ,- - C1 r C v. i t +0 o')c� e_ c W A f i r123k.01 k -7o r //-e AJ pcS - Z.70 6 lass t-1 + lid ts' coNTAker . FO NIA IO • OWNER NAME: /77/" ,o S& TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREEr 5 111 CF. CITY STATE ZIP OWNER PHONE: ii OWNER EMAIL: CONTRACTOR NAME: .rA.t L O r s t r/e ,. .� . ., CONTRACTOR ADDRESS: STREET `i'/ 3,)3 G--( 3 t/ cm,' Darr 1 n q 'ipn STATE 14 ZIP 9 e Z l( CONTRACTOR PHONE:3 CO-9/3- 4l6 a e / CONTRACTOR EMAIL: 1.��14 eh1v rs lei C.n, 5 i.h ca O. r^+ CONTRACTOR LIC.#(REQUIRED):(,2.1 NL-T&. g 8 44 DA CITY OF EVERETT BUSINESS LIC.#(REQUIRED): G)Z 2 2_ PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: //72' A/ CONTACT PHONE: 3 G a-913 4/6 2 'c n 7/V/72' / `/ acs CONTACT EMAIL: 344 AGREEMENT:T 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 lam 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 29E206 WAC City of Everett Official Use Only FEE *15,e& PERMIT# 0/00— go! J? F 01— gG Owner/Authorized Aent Signature ✓ Date (Revised 10/12/2015)