4409 S 3RD AVE 2018-06-08 - Laserfiche WebLink

"IIPP1:C--A !LECTRICAL PERMIT AP LICATION 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 INFORMATION'. : . PROJECT ADDRESS: Li a / oz.),-iii 1 - ,60,-R... .1).Arta, y i°1 / c�2173 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 5006 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES )NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: /2-eiP/ U'-- 124"') 1 Acl _ 4-1.A-40wziin Ci)24,4 • CONTACT INFORMATION .. OWNER NAME: �b GSL,"...AAA_ TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CPI 42/ 5pvit, g a A H-C._ `9� cm, S U-e11 STATE pi./.1 Ik"ta OWNER PHONE: 142-5--2-3 S3' /6105/� OWNER EMAIL: CONTRACTOR NAME: <N Dl e( .c iei__. )yi'- / / CONTRACTOR ADDRESS: STREET /6 2..( /Yj d ht `f e , � CITY /l`iik)Lkb STATE j ZIP b2''7 CONTRACTOR PHONE: 142- -10 1 749 0 0 CONTRACTOR EMAIL: .. holes '(--v ( 1.4,/ ,&)Y ' CONTRACTOR LIC,#(REQUIRED): 1/1 0124--e-4 61-7 b v 1 CITY OF EVERETT BUSINESS LIC.#(REQURED):�nM1)ww..x,kw— . PRIMARY CONTACT: 0 OWNER d.CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: y, Q CONTACT PHONE: /L f 5 5 D I "7t)0 b PAIge- 11 0 CONTACT EMAIL: s_ el._ J iz j) 5)1,,,4// ,GDYh 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 296.200 WAC. City of Everett Official Use Only FEE 1O - PERMIT# /� l� Egg,0q - N5 Owner/Authorized • .•nt Signature ate (Revised 10/12/2015)