Laserfiche WebLink
/p2915 .2/..2400/ , y I <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 I (E)everetteps@everettwa.gov j www.everettwa.gav/permits <br /> k'•� � .•.:fi. v_..t..�. •�J••., a.i•-..... ..e�{•it .. .....t.Cr..M7�r4.V..v//J]fa��.pp �•�/.Wi. .✓�J.. �`.Tua.,... tv. .. ....�....s........'a:•..•.:•'..•.-. ..i e t .i••-l'.l•:::+:r <br /> PROJECT ADDRESS: '10', 3 ,��/' / L:at /7 <br /> BUILDING AREA(if residential,new construction,re odel,or addition) SF <br /> BUILDING TYPE: D SFR-DETACHED El SFR-ATTACHED 0 DUPLEX Cl MULTI-FAMILY-#OF UNITS: 14 COMMERCIAL <br /> USE OF BUILDING: jUE i.kj& E4/E. E'TT <br /> -4:OM, <br /> . •.,�,}; <br /> � :.era:., ...}..e.,•..•. _:t• a:<. .✓ta.•.. <aY �._.♦.• v....,:;y- titi f VL=.e ar av .Vt•a.l?fes.�E:iti.�=rc fe i:,tt•� it:::4irhi�`.:.=•,rw t.'v-'+r i.:•!l•=S; <br /> CONTRACT PRICE OF WORK:$ 45 $pp <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? ❑YES /4 NO <br /> ASSOCIATED BUILDING PERMIT#(If applicable): <br /> DESCRIPTION OF WORK: 111ev .1 jtOJ azriote <br /> • <br /> • <br /> 3. .. - - . . . _..�..__ .. •.,,;.: -G011�'TACTaINF��tNiAT10[i1:�•.f. .• ♦ -. - -•• �: :� ; <br /> . ....f.r... a S. .. ♦ . .. -_..t.. .. -.ev �}_. _ .Y.» :-t•. .. ..t .. -.. 3• ..— .t-.-F .•.t.s <br /> OWNER NAME: TENANT NAME(If Commercial): /jJ(j <br /> OWNER MAILING ADDRESS: wear pa gem 3707 <br /> env 5E -L�— STATE zirf Ul2•/-2207. <br /> OWNER PHONE: OWNER EMAIL: <br /> ... �,� - n _. r -ss.. u ... . - .n f a n._v ss. s•+n ,. f ., ... ... , .» .. .. . w. •+v- . r, . w . <br /> CONTRACTOR NAME: 4e1 ge. ppeue:r1bu <br /> CONTRACTOR ADDRESS: snag Po BoX 4/ <br /> orrr,1 mag/L sum-Wit- zip gg2�j`7' <br /> CONTRACTOR PHONE:426-2�/f4.4g44 CONTRACTOR EMAIL: J�f�-i2�• l /n/y?��i21 k'ii'w'r, Coin <br /> CONTRACTOR LIC.#(REQUIRED): ( EA/ (!C 4O z. [CITY OF EVERETT BUSINESS LIC.#(REQUIRED):040,521 <br /> W., .w. ..�.�.�.. . .,....t.r. 1111... « .., h.�. .f.�« ..w.� �........�..-., .w...w <br /> .��...,tom....-...t.,�..♦...»,�... <br /> PRIMARY CONTACT: E OWNER Il CONTRACTOR ❑OTHER(Please Specify) • <br /> CONTACT NAME: p / CONTACT PHONE: 2 -736- 5i/. },�, <br /> TD6NN I �I�-a�/I/ CONTACT EMAIL: DEN1'IG,e_sok)a 1C'1C)i//1 r. do/' <br /> AGREEMENT-T hereby cettihy that f 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 whetherspeclfled herein or not The granting of permit does not presume to give authodlyto 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 thts property to perform the work for which application is made and t <br /> comply with the State Contractors Law 18.27 ROW end 298.208 WAG <br /> City ofEverett Official Use Only <br /> FEE R gi 2 °o <br /> PERMIIL <br /> EE 2 -09 -4 <br /> Owner/Au or ed Agen Signature Date (Revised 10/12/2016) <br />