2105 GRAND AVE 2018-09-11 - Laserfiche WebLink

grr ECTRICAL 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: 2.1 0 S /N6(J AVE- BUILDING VEBUILDING AREA(if residential,new construction,remodel,or addition) .-6' C SF BUILDING TYPE: mSFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: i(L ES I De---/vii AL SF- ELECTRICAL APPLICATION INFORMATION. . CONTRACT PRICE OF WORK:$ % 5-0,0 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES 6!'hO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: //W',ST A-L4- Ci4/v L, //Z>I LEirR/eA L OUTLE=T=S enbr- • Icavd_fl£ 7 f4E wilei iv y. CONTACT INFORMATION OWNER NAME:EV f 6Z A Q •v. /745M ES LL TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET y2O g K yz "7 If( ( CITY gE4ee-Vii STATE ZIP 9eon^ OWNER PHONE: 2 i 1 2 z8 O 53 6 OWNER EMAIL: Jof//t". V A C{Z7 G F-!:A/L toNi CONTRACTOR NAME: P4-11Z- DA.ti"LS tQES Ta e'r77o,v a W ,k//G CONTRACTOR ADDRESS: STREET A �L.� 7, A 7 4 dry L�jr IY :0 STATE wt ZIP e7o O 8 7 CONTRACTOR PHONE: 20 6 3 6 +' •7"d CONTRACTOR EMAIL: WA W k Com' PD 12-- vS4. ET CONTRACTOR LIC.#(REQUIRED): PAW-DDS al 51/12/4 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):C 1S 811`7 PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 2/'Y 2 0 5-3 6 /3IV Y C C6-7//vy- CONTACT EMAIL: Zott AMR VA tgiti7M/ e 4/741L. . COI AGREEMENT.f hereby certify that/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/am authorized by the owner of this property to perform the work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# sAs-A E Owner/ uthorized Age ature Date (Revised 9/23/2016)