2308 LOMBARD AVE 2018-07-18 - Laserfiche WebLink

Dec 1416 03:05p Vickie006914838 p.1 -. .0 u_. ,.e() -6�'i - IgE& \( f - �---� ELECTRICAL PERMIT APPLICATION _' y y- CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 j (E)everetteps@evereftwa.gov I www.everettwa.gov/permits • • PROJECT SITE INFORMATION 3 PROJECT ADDRESS: ?3 )8 Lo yr 1R+i p> -76)Lt BUILDING AREA(if residential, new construction,remodel, or addition) .52X) SF BUILDING TYPE: :l SFR-^E' D 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: e _9___. .- -{5C ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ S00 C7� . NUMBER OF DEVFCES (if low voltage): FIRE ALARM? 0 YES 0 NO _ ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: _ `A; 1k � 4.� I Art ,--k. - CONTACT INFORMATION • OWNER NAME: Apr—r6/},q -A::)er✓ TENANT NAME(If Commercial): OWNER MAILING ADDRESS: SreEr 3 �'yn '( ._._. 4,1 _e c, � , ,._LI,11.- STATE ZIP OWNER PHONE: -7/7 —3e-i,_7-7(P() OWNER EMAIL: "' , .....,:p.43 � J CONTRACTOR NAME: -V t�t PJ-e. iec,C -T---N-e.., CONTRACTOR ADDRESS: STREET 7. j Q(1 S'' GO /f cnY 61-t-/2X0- q.474-1_,..--:, STATE W aP ?(S� Z... Z CONTRACTOR PHONE: 36,n( f I -4w (,- 'CONTRACTOR ENTAIL: 3 ld. I ed - - 0.n lfl () (-d i id b h c.P� i &=- 4- CONTRACTOR LIC.#(REQUIRED): f,('/f' 6.UF_�( .._I 0.) CITY OF EVERETT BUSINESS LIC.#(REQUIRED): Dt.1,553 PRIMARY CONTACT: `j' WNER 0.Q0NTRACTOR ❑OTHER(Please Specify) CONTACT NAMM-E: CONTACT PHONE: �� cJ 71 t�(u C r /�,_�, '`s kr� CONTACT EMAIL: 1 AGREEMENT:T hereby Certify that I have read and examined this application and know the same to be true and correct Allprovisions of laws and ordinances governing this type of work will be completed whetherspecified herein or mit. 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 constructfon orthe performance of construction. That I ern authorized by the owner of this property to perfonn the work for which application is made and! comply with the State Contractors Law 18.27 RCA(and 296.200 WAC. • City of Everett Official Use Only FEE 41J& 1 • PERMIT# / l 244-,4--1 L� — , _�6 - E r 01 Owner/Authorized Agent Signature Date a (Revised 10/12/2015)