4012 HIGH ST 2018-09-11 - Laserfiche WebLink

/11?/Yr-----A _ECTRICAL PERMIT AFR_LI ATIN 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: • OZ .$ , f- �y'fl -� ' t b BUILDING AREA 40:561.11'construction,remodel,or addition) SF BUILDING TYPE. Off FR-DETACHED 0 SFR-ATTACHED El DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDIN : 121Y111 , ELECTRICAL:;APPLICATION INFORMATION: CONTRACT PRICE OF WORK:$ NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: IMO :i\ i Or fi O 9 lb S Wl [ Arlir . _401' Al )(ii ..0 P OWNER NAME: t 12--ettg. TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET t ky.�f�'h�1 s' CITY Q 6 J STATE Ver.' / ZIAY) O\ OWNER PHONE: 'me-- c7cj OWNER EMAIL 6i G, BL O rr s CliA,1 1T Vl I1•/ "IL• 0-4111 CONTRACTOR NAME:11\1:4A W,A61,--vit- CONTRACTOR ADDRESS: STREET ` 3\5-- (//�� < 1 CRY STA ZIP g � CONTRACTOR PHONE "✓3 1'. 0 CONTRACTOR EMAIL: fV \ j Ij ,sm CONTRACTOR LIC.#(REQUIRED)� l �'iF t ctk,e W CITY OF EVERETT BUSINESS LIC.#(REQUIRED)5'*'I PRIMARY CONTACT: ❑OWNER NTRACTOR 0 OTHER(Please Specify) CONTACTT NAME: CONTACT PHONE: ��/1A/► � 1 CONTACT EMAIL:f p j, AGREEMENT:T 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 FEE 15t), PERMIT# E \q)01-4, rib&