7825 EVERGREEN WAY 2018-09-11 - Laserfiche WebLink

APECTRICAL PERMIT APOEICATION 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:1 L b G\.29ceer Wo.k4G19- QwCD3 BUILDING AREA(if residential, new construction, remodel, or addition) COO SF BUILDING TYPE: o SFR-DETACHED o SFR-ATTACHED o DUPLEX o MULTI-FAMILY-#OF UNITS: ,COMMERCIAL USE OF BUILDING: OC SU7 ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ NUMBER OF DEVICES(if low voltage): FIRE ALARM? -ES o NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: \\\\S\-C,,\, 'tekt) o- ( J ZQA.6,l0 n i 'i-or _-_ p �� DCONTACT INFORMATION OWNER NAME: Q\j O �-�'�/` e (('��,,TENANT NAME(If Commercial):C \ V'-QQ' p O1C12;Var1. OWNER MAILING ADDRESS: STREET ` J V)ox 530 3 CITY Ake,v -12, STATE WA- ZIP a q OWNER PHONE:14 L514 (OWNER`EMAIL: CONTRACTOR NAME:Gpeks--A,Vc-V12 CONTRACTOR ADDRESS: STREET 1�`t-kJS �f CITY Q. STATEUA.- CONTRACTOR PHONEa CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CIU (CITY OF EVERETT BUSINESS LIC.#(REQUIRED). (4U3 PRIMARY CONTACT: o OWNER o CONTRACTOR OTHER(Please Specify)aci0\cI(\,A CONTACT NAME: CONTACT PHONE: ( p `e cAc CONTACT EMAIL��skS ed;bj1/4 jar&ZCiYCectiY ` 4-'leo� C614/ AGREEMENT.:I hereby certify 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 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 law 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# 5/0-it E -- dao Owner/Authorized Agent Signature Date (Revised 9/23/2016)