Laserfiche WebLink
ELECTRICAL PEimP,MIT PPLICATION <br /> - CITY OF EVERETT PERMIT SERVICES <br /> .`11111UWI 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)428-257-8810 f FAX 428-257-8857 ( (E)everetteps@everettwa.gov J vaww.everettwa.gov/permits <br /> IN .CDR 9I9< p <br /> /�i ..�J: -.Ydu•f J.S' .}+••:i�.4.:<�: ..tom+._ <br /> PROJECT ADDRESS: 1a-- ,'��` <br /> BUILDING AREA(if residential,new construction,m ode!,or addition) SF <br /> BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX C!MULTI-FAMILY-#OF UNITS: NI COMMERCIAL <br /> USE <br /> 2LB, 1,-1 EIWErr' <br /> r ll"_. _ -_ --.I+vep. e,..;: 1,,y.r.}',,. P ..,'.� ��•'0.1�y4�• - <br /> ' ..yr..1. < .,l.:91y�t.c L:.. ... ! 0:411V <br /> L+L n•.•a.Ln:vt•....4 i•.l:f ...11 J 1".�t i.0.til_.. 1!..>7•14'al l•.•I.k. <br /> CONTRACT PRICE OF WORK:$ 000 <br /> NUMBER OF DEVICES(If low voltage): <br /> FIRE ALARM? El YES 13 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: P E:j4q id j0 9 5 "3 <br /> • <br /> _,. ', _ G011�1'ACT..INIOR11?fbTIfC1 .. . <.•,: ;• <br /> OWNER NAME: TENANT NAME(If Commercial): BM A.)6 <br /> OWNER MAILING ADDRESS: STREET Pa EpeN 3707 <br /> cu .5 i ryri - STATE /4 71 15J2'/—2207 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: 4 ,�674 (!,9P5]rj2',C1C-rok) <br /> CONTRACTOR ADDRESS: STEM' Pa $OX 4t <br /> mnr mgr Jj.7 sTAT.vvit- vpgg2,4 <br /> CONTRACTOR PHONE:4266'214- 'q 44 CONTRACTOR EMAIL: k1i-,e f. /44,04E-giNH411 k'i w'r. Coin <br /> CONTRACTOR LIC.#(REQUIRED): agl gt. , 1.-4,0 CITY OF EVERETT IIUSINESS UG.#(REQUIRED):0405 j. <br /> PRIMARY CONTACT: D OWNER 14 CONTRACTOR D OTHER(Please Specify) <br /> CONTACT NAME: W CONTACT PHONE: Zt -73 6-6544 <br /> D -141,115 et0 CONTACT EMAIL: DDN1I I S.e.. .0141 a h I Wt r. doff) <br /> AGREEMENT.T hereby cartify 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 <br /> Ore of work wilt be completed whether specked 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. That!am authorized by the owner of this property to perform the work for which application is made and 1 <br /> comply with the State Contractors Law 18.27 RCM/and 298.20d WAG <br /> City of Everett Official Use Only <br /> FEE <br /> 4366 <br /> PERMIT# <br /> E ‘%0L-k <br /> /i, Al/iqA • <br /> OwnerlAu prized Agen Signature Da a (Revised 1O/92/2095) <br />