1531 HOYT AVE 2019-01-03 - Laserfiche WebLink

4517. ELECTRICAL PERMIT APYLICATION 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: /53 I 1 4vQ BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED- 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: fair j7 Powe/r- j /- ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 5"a2-.) C) NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK:ele." ,„ ;; *Dnp poi/ Po// e CONTACT INFORMATION OWNER NAME: -4:cipii!i*IiArk,, .fria/0 0 ttatCS+te6rENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET / 5-3/ /itrt 14✓C'/ 1014.- n// cry �r/!� STATE V ZIP V OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: C( kf F(dt'/G/ �- n CONTRACTOR ADDRESS: STREET 2-73� d'�/ S n�^ CIY /rb1()WMGla' STATE /W ZIP q -2.07 .- CONTRACTOR PHONE: 4'/7 7ITTi0 Fogy- CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): C64R E7 ,?'/ir7” CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 535o g. PRIMARY CONTACT: 0 OWNER 'CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: ^^ CONTACT PHONE: Li2;- 7‘0rZ- �GLh C-�f /4 CONTACT EMAIL: 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# E IiIO '1 3 Owner/Authorized Agent Signature Date (Revised 9/23/2016)