Laserfiche WebLink
ELECTRICAL m }}}��� n s� s� p� p 3/I1 <br /> • <br /> 8 E ~MITT *,P UCAf lON <br /> - - CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 J FAX 426-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> r. .. ..:s:..,:..�..,...;.. .. ..... .. ....r:.. ,.•. . 'r'''' ''"'''''' a�{.v: FOR_.. ',O ,z•`-•.J. <br /> .. . .._. . ..e:'.', ...'''t•:i :v <br /> PROJECT ADDRESS: 0=a _WA.. / m J-3 <br /> BUILDING AREA(If residential,new construction,rem el,or addition) SF . <br /> BUILDING TYPE: D SFR DETACHED D SFR-ATTACHED D DUPLEX MULTI'•PAMILY-#OF UNITS: Ni COMMERCIAL <br /> USE O8 BUILDING: OE 1�G V .Err <br /> rw . ..�: • ..•:• ry, ©TRNi .AtT• xjrjl 4.1W0.11:v .:ig.g:_,tt•,1-:•a'w , .. <br /> CONTRACT PRICE OF WORK:$ y.r.,•y�:.31x':::..•r:�:•cy.t�.i, <br /> /40' `� v • <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? D YES Till NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: - j/y1, ) 5/ ,, 7i7 --I 92/ 2G///$Z <br /> - , ;<:: COITACT:,IIItIIFORNI '1'10N:.. _' yt: }t'• <br /> OWNER NAME: TENANT NAME(If Commercial): ,{ ;Efil G <br /> OWNER MAILING ADDRESS: CeirnaserPO bt X37o7 <br /> 5r1LE STATE 1411- Zi //2y—22/f <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: [.40P5T(7 tie...TI/3A-1 <br /> /�Z <br /> CONTRACTOR ADDRESS: smear Pe Box 44i` y, I ,+�/� <br /> CITY1 /t/l�11...r&-27 5rATEVIM- ap gg2e7 L <br /> CONTRACTOR PHONE:426-29 4-6144 CONTRACTOR EMAIL: killed. H4h mEJ4 k'i wi r 60/7) <br /> CONTRACTOR LIC.#(REQUIRED)IgA1 .gBhO z CITY OF EVERETT BUSINESS LIC.#(REQUIRED):Q4 i <br /> amu.. .,•,.......-...,. ».-2 za �. •M�,r«a�,H.�- �«..._ n . <br /> PRIMARY CONTACT: D OWNER Il CONTRACTOR ❑OTHFR(Please Specify) • <br /> CONTACT NAME: CONTACT PHONE: 204,-73 b-654-42 • <br /> DcNN15 Ci-1 w CONTACT EMAIL: DENSfS._K•att)® Iii 1/ IT. !.O/yi <br /> AGREEMENT:T hereby certify that t have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this <br /> 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 <br /> local law regulating construction or the performance of construction. Thet I am authorized by We owner of this properly to perform the work for which application Is made and I <br /> comply with the State Contractors Law 15.27 RCN and 290.20d WAG. <br /> City of Everett Official Use Only <br /> FEE <br /> PERMIT# <br /> •/ E <br /> Owner/Au or zed Agen Signature Date (Rev/sed 10112/2015) <br />