2302 GRAND AVE 2018-09-11 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION 04Err CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 I (E) everetteps everetbr✓a.go', I vwrrr.everettwa.gav/permits i PROJECT SITE INFORMATION 1 PROJECT ADDRESS: .30.2% .ratid BUILDING AREA(if residential,new construction, remodel, or add::cr) SF 1 f BUILDING TYPE: SFR-DETACHED 0 SFR-=•.i ACHED 0 DUPLEX '."u`_ i-Fe_'•^i .•-#OF UNITS: 0 COMMERCIAL i USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: S 2._ 0 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK: �1r15` _.-Li,-PL.-- C-a~- 1-Y\ -hir2 Go.s 'F/ (visj L CONTACT INFORMATION OWNER NAME: V ILori 4 'Pas r TENANT ' A.!,"-(If Commercial): OWNER MAILING ADDRESS: a ,503. ``-iro in,J Ere(et w €r T. CIS 2-01 OWNER PHONE: L12.6 g t(.p JS OO TOWNER=MAIL: CONTRACTOR NAME: ` KQ0 C4 CONTRACTOR ADDRESS: s RE= t 'WCarjY' coy s-.-.-E � C1 `i✓../O iCO!'NTRAC t CR Eli.A&'L: d f„:0‘,_s;e, 0 l/I T l e0,.Iri jT r CONTRACTOR PHONE: � J CONTRACTOR LIC.#(REDUIR_D):C.I'�1he-QlrY1Yl(V �d( Ci-TY OF EVERETT BUSINESS LIC.;(REQUIRED;: /;OO CtY PRIMARY CONTACT: 0 OWNER CONTPACTCR ._ -- - _as_ __ CONTACT NAME: 1CONTAC T PHONE: "L4 5 ' 5 ` t I17e,bk2te ELCONTACT ''.✓olo ,)c,p(14��-t1 r1r�t '(..01Y-)J t sect Alt pro i:3:r-s c''=Ws and ordinances govern:.^c Iii AGREEMENT:1 hereby certify that 1 have read and examined this a := ,; - _ - - of work will to completed whether specified herein or not. The granting c a;,-h r"'y to date Cr canoe:Me prc'lisiors of any c"~er state local law regulating construction or the performance of construction. Mat, _ _ _ •. .7 s pr.r. erty to perform the a cr'k for which appCcaisori is mace an comply with the State Contractors Law 19.27 RCW and 296.200 irW'r.0- C' ^of Everett Official Use On)/ ' PERMIT.. �jh� t 1E0 - \ V--11LC) 1 OwneriAuthcrized Agent Signature __ :. ('ev'sed9-2,'`d''t61