1126 HOYT AVE 2018-07-18 - Laserfiche WebLink

OLT CTRICAL PERMIT APFILICATION 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 SITEINFORMATION PROJECT ADDRESS: /12 6 Hoyt /eveBUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: ,IgvSF�R-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 13 COMMERCIAL Pr USE OF BUILDING: /'r!M Qty fits;dg ce. ' ,;'< ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF,WORK: $ NUMBER OF DEVICES(if low voltage): FIRE ALARM? WIVES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): N/A DESCRIPTION OF WORK: Ne,w sop Mip ( OAP k 4j -3/Q ( pper CwkI&c �S r i I1 1 J Z r'9 tc wildest 4 �G 1I ImO0 1- MOt/ir'9 rvi c W l- N t J co me r` AF I�ica . e rotia ( aid (oc-e e/t./- ac- , i.,db ✓)ci ,ilbe. eeriava I a.4a lace cues a vel ,r' c ircu r(s d- t-(e FS 3 r►.wu 2 u k k c kc S �� kie,1 4 g/} r . WI fled f;re. aIA'Ai 5 IA.,,.GI 1-i-tC t �txd r ovv1 Li +C i1i01, 1 • CONTACT INFORMATION OWNER NAME: /'{2;cy,ae/ "K&+ie flow k,nsr TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET /12 6 /+v y t- �ye. cITY Fve reg J STATE I�P ZIP 9g�Q I OWNER PHONE: 70--y30-6, 99 s2IOWNEREMAIL: 1.<nAG Ott/iv 0i ey,a /, co,M CONTRACTOR NAME: OW 116 CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: gJWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: -7 GIL/_ g 30 - (' 9 p 8 6t,-1-ie gawKins CONTACT EMAIL: K(1/law K..i IS e 9 ma i/• coo-, AGREEMENT:l 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 I am 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 PERMIT# 4 aorfrca,4,,,,„- 9/i,/, E nog - n ) wn A Signature O r thorize Agent e/ u d ge t S g ature Date (Revised 9/23/2016)