7913 19TH DR SE 2018-07-20 - Laserfiche WebLink

Jul 281712:38p Ferrin Electric Ilr 1113377746 p.7 1 Oren' ELECTRICAL PERMIT APPLICATION I CITY OF EVERETT PERMIT SERVICES i 3200 CEDAR STREET, EVERETT, WA 08201 (P)425-257-8810 1 FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwagovfpermits 1 ..... :.: PROJECT ADDRESS: ! Ci . \--Il 1 t f stril.5 , .. r� BUILDING AREA(if residential, new construction,remodel,or addition) (A-be Li _SF I BUILDING TYPE: El SFR-DETACHED )4 SFR ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: '"r{5 ,I fa :,:<< IC01.0 .. . .:..:.:. CONTRACT PRICE OF WORK:$ 7' ..........:<.. I NUMBER OF DEVICES (if low voltage): _ FIRE ALARM? ❑YES ONO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK• ""r T;�•P;. „t r, cii-N Pettit ,: F. ,11 .•.. NTAC , TIN .. R OWNER NAME: t y�, I let ik s • t• \I ( ti 1.4.4_.TENANT NAME If Commercial): OWNER MAILING ADDRESS: sT ET 1710 5 'NAA, ,� N _J r CIT•! d�"1�, STATE v )A ZIP C� 'd 404 si OWNER PHONE: ti ,,S ° C 3 ,� OD 'OWNER EMAIL: rr il CONTRACTOR NAME: c-t1' (\ ku -•j(.. i13 CONTRACTOR ADDRESS: STREET 1 0 ; )O 1 .. CITY P 1 11C� � STATE VI/L� ZIP 1i 041 e CONTRACTOR PHONE:Li*�rj -3 - ) P E J CONTRACTOR EMAIL4� �� 11� .�Zi c\--(1(...,vu. ,�: i .CONTRACTOR LIC.#(REQUIRED): c�_�'f'r Ei ci 3 n C 'CITY OF EVERETT BUSINESS LIC.#(REQUIRED):053C1 G)'] PRIMARY CONTACT: AOWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME; CONTACT PHONE: 1+< j S C'\1 L• a �( r 1 - ` )1) CONTACT EMAIL: ty) { Ii AGREEMENT:i hereby certify That I have read and examined this application and know the same tote true end correct. All provisions of laws and ordinances governing this type 1 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 lawregulahing construction or the performance of construcilcn. That i em authorized by the owner of this property to perform the work for which appticalion is made and I comply with the State Contractors Law le.27RCW and 296.200 WAG It I It 'i • • Ir\\ ......, PERMIT Cit#y of Everett Official Use Only :g 0........... .......... 'a /''a /') ) ....7 10' i'l eL Owner/Authorized •.,•nt Signature Date (Revised 9/23/2016) 3 i