5700 23RD DR W 2018-06-28 - Laserfiche WebLink

LECTRICAL PE IIT A_LICATIO i ;---- CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 (E) everetteps@everettwa.gov www.everettwa.gov/permits PROJECT SITE INFORIVIATIOIIV PROJECT ADDRESS: x"740 2 3 ed D1/' Ve BUILDING AREA(if residential,new construction,remodel,or addition) i /6 C)&Z SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: KCOMMERC1AL USE OF BUILDING: A I-i 5-f 7 ta S c ken)? E TRICAL,A' LICATIIONI INFORMATION CONTRACT PRICE OF WORK:$ /'{Q2 6,OO NUMBER OF DEVICES (if low vol 7:ge): /6,2 FIRE ALARM? 0 YES NO ASSOCIATED BUILDING PERMIT# ;••lic_• - . DESCRIPTION OF WORK: I/O i C c' e (7( 4 gown, OAT3Z/n/G S -e les ' nl/1/2t a-4;34,tV • _ CONTACT INFORMATION OWNER NAME TENANT NAME(If Commercial):NUd�'rtl ,si-4O1 env/s+'04 s/'/ OWNER MAILING ADDRESS: STREET 5 700 2 3rJ r hJJ S CITY et/'zRrzTr STATE y/. ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: /IrGu (7// ( !,O✓/4410111 C /7 64 S I N C CONTRACTOR ADDRESS: STREET r^I 0 3/O)( �^' CITY STATE to zip 9c(z7j CONTRACTOR PHONE: //ZS-3 y7_76 09 CONTRACTOR EMAIL: j(142/.{04-PA 5 a/ Aleu.st2!c4 GV ) CONTRACTOR LIC.#(REQUIRED):_ . cGJ L 6T /5-6,J ... CITY OF EVERETT BUSINESS LIC.#(REQUIRED) 033°34' PRIMARY CONTACT: 0 OWNER q CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 4/2 3 i/7-7 o 3 k1 'l` b5 CONTACT EMAIL: j)M K/4 k45 G IV/E'rci '04C m'n. 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 I am authorized by the owner of this property to perform the work for which application is made and l comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE Lai PERMIT* ner/Authorized Agent Signature Date (Revised 10/12/2(115)