4893 ALPINE DR 2018-09-06 - Laserfiche WebLink

044' 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 I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 4E9;3 cli,OLA,Le, ar BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE:>t,..._SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELECTRICAL'APPLUCATiON INFO tMATION CONTRACT PRICE OF WORK: $ 7-5CD , NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMT#(if applicable): DESCRIPTION OF WORK: kN 0/L(,zQ,. ail ` 'CONTACT INFORMATION OWNER NAME: it.L ti ak 1co U l' TENANT MEE(If Commercial):it OWNER MAILING ADDRESS: sTReeTJ 7.4 CrTY STATE ZIP S OWNER PHONE: ?S 34/0 4005? OWNER EMAIL: CONTRACTOR NAME: C' t �`bz ►)9 CONTRACTOR ADDRESS: STREET )Tl15 WO aG4lO CITY tet'�i - STATE WA" ZIP Cit 2o, CONTRACTOR PHONE: 1-05 1 1qi 0%--0 it EMAIL: de.)01)1' c.„(ali61--i0'19 r ti6 Y+'/ CONTRACTOR LIC.#(REQUIRCD):Cl)'lhe. %"fl del CITY OF EVERETT BUSINESS LIC.#(REOUIRED): I(,00 PRIMARY CONTACT: 0 OWNER fi,CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: ff CONTACT PHONE: 1-1S 35 I o 1 &able CONTACT EMAIL: deb# , titan .con-) AGREEMENT:t hereby certify that I have reed and examined this application and know the same to De true end 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 taw 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# au. .l la 'as -1 (.----A-0_- , 2� Owner/Authorized Agent Signature Date (Revised 9/23/2016)