Laserfiche WebLink
1V47Z0-4,:501- n7v <br />PLECTRICAL PERMIT APACATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 1 FAX 425257-8857 1 (E) everefteps@everethNa.gov I www.everettwa.gov/permits <br />:P <br />.,eJ A <br />PROJECT ADDRESS: uQ , 4 <br />BUILDING AREA (if residential, new constructloff, remodel, or addition) SF <br />BUILDING TYPE. 0 SFR-DETACHED 0 SFR-ATTACHED El DUPLEX 11 MULTI -FAMILY - OF UNITS._ COMMERCIAL <br />IUSE OF BUILDING: <br />. ......... . <br />r4 <br />E <br />CONTRACT PRICE OF WORK' $ <br />NUMBER OF DEVICES if low voltage): <br />FIRE ALARM? El YES 14 NO <br />ASSOCIATED BUILDING PERMIT #if applicable): <br />DESCRIPTION OF WORK: <br />7 'T 7 <br />OWNER NAME: TENANT NAME If Commercial): <br />OWNER MAILING ADDRESS: STREET fb 80)(57/)7 <br />STATE CRY S 14 v95124 7 <br />OWNER PHONE: <br />OWNER EMAIL: <br />CONTRACTOR NAME: <br />CONTRACTOR ADDRESS: urftmr Po 60X <br />CITY Mk�g IZ-125-0 STA44* z1P6jg2QZ1 <br />CONTRACTOR PHONE: <br />ICONTRACTOR EMAIL: HAMA E-g k1AF W/ r. e"Oln <br />CONTRACTOR LIC. *REQ-UIRFQ):CVEA/69(!,Qq840Z ICITY OF EVERETT SUSINESS; LIC. #(REQU1RED):0'q05qq <br />PRIMARY CONTACT: L1 OWNER I N CONTRACTOR E3 OTHER (Please Specify) <br />CONTACT NAME: ICONTACT <br />. -D6N 4 15 V/ ICONTACT <br />PHONE: 206-736-6546; <br />EMAIL: D,5]Viq lei. e-A04) 0 KIE W/1 T- d-OM <br />AGREEMENT.' Thereby certify that I have read and examined this application and know the some to be Inte ana correct miprovisions oTiawisanuorainanGuuuuvuttiiiitiurns <br />type of work will be completed whether specified herein or not. The granffng of a permit does not presume to give auffia* to violate or cancel the provisions of any offierstate or <br />locallawregulaffng constradflon or the performance of construction. That am authorized by the ownerof thlapropedyto perform the work for which application Is made and I <br />comply with the State Contractors Law 18.27 RCW and 296.206 WAC. <br />City of Everett Offlotal Use Only <br />FEE <br />PERMIT# <br />E 1104-- <br />(Revised 1011212015,1 <br />