1805 WALNUT ST 2018-06-27 - Laserfiche WebLink

01/08/2018 #3079 P. 0011001 12:08 041:7"T 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 www.everettwa.gov/permits • PROJECT SITE INFORMATION PROJECT ADDRESS: BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: DI SFR-DETACHED In SFR-ATTACHED- ❑DUPLEX CI MULTI-FAMILY-#OF UNITS: Q COMMERCIAL USE OF BUILDING: SF/L .- ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 600 NUMBER OF DEVICES (if low voltaz_a): FIRE ALARM? LI YES LI NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: /Z, pL/ g. f STheArIll CONTACT INFORMATION OWNEIR NAME: 4�r t 4- TENANT NAME Of commercial): OWNER MAILING ADDRESS: s-rizarr YlOS AJ)1-1 U)14k. a�,/ CITY STATE Is-, ZIP �^ OWNER PHONE41.77-n-173 7212 OWNER EMAIL: wommiimmmen CONTRACTOR NAME'&44IOf 1htt! CONTRACTOR ADDRESS: srReer .36e/ Elle7 � }CI'TY er/ /ff P STATE //tJ 2�IP G04CONTRACTOR PHONE: eroaf• ( CONTRACTOR EMAIL: --'� CONTRACTOR LIC.*REQUIRED inlingaM111111 CITY OF EVERETT BUSINESS LIC.*REQUIRED):6/6349 PRIMARY CONTACT: ri OWNER ❑CONTRACTOR 0 OTHER(Please Specify) CONTACT �jNAME: �'} CONTACT PHONE: yid. J..3l .V.711"'" vv btu D k/ " O/�/i.1 L ` /i CONTACT EMAIL: AGREEMENT:I hereby certify that I have read and examined this application and know the same to ee true and correct. Al/provisions or 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/am authorized by the owner of this property to perform the work for which application is made and l comply with the Stale Contractors Law 18.27 RCW and 290.200 WAC City of Everett Official Use Only PERMIT# .. E I O I O� Authorized Agent Signature ate (Revised 9/23/2016)