2312 LOMBARD AVE B 2018-12-21 - Laserfiche WebLink

"ow_ LECTRICAL PERMIT A kI ATION CITY OF EVERETT PERMIT SERVICES viiii 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 ttre INFORMATION PROJECT ADDRESS: 2 31 L o IM�7ar� Ave. eve--c-{{- a 620 I 1 l bfl BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED ID DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ge.S I ae-,,vVia ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 2 CD 0 0 NUMBER OF DEVICES(if low voltage):. "—' FIRE ALARM? El YES t]NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Q v-I-d r `ctY,e f 1 q rz(Le iiv i '}-1-k M q 5* re-p)ace-rme-ri..lt CONTACT INFORMATION• OWNER NAME: D c no( )4 I GI Ssu1 i TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET J CITY STATE ZIP OWNER PHONE: I/Z5--31 q" 2S P-/ OWNER EMAIL: -+d -1--vne 5 I I •0 CONTRACTOR NAME: Oq Z E I e c± 1 G t S e..r-v c e L L C CONTRACTOR ADDRESS: STREET 2-3 0 1 a, ✓5© . c-1-..CITY ite re 4± STATE J ZIP Cr e Z ts3 CONTRACTOR PHONE:(qic) Z3 2 - 13 Cs 1 CONTRACTOR EMAIL: Aflx, Z e(ec 4c-i c e 51M-C11 1' C 6e"'1 C� CONTRACTOR LIC.#(REQUIRED): E C D�17Zt-E 5 8 Z L(By CITY OF EVERETT BUSINESS LIC.#(REQUIRED): C rJ I``f PRIMARY CONTACT: 0 OWNER p.CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: t(Z L1-i _ �p �- z3Z - t �o KAT7YIeiv3 �m `- CONTACT EMAIL: 4G8 Zeiet_-f.riCCo7 GI,vtc., / . covi" 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 lam 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 n . 4 \00e '-'" PERMIT# Clie-i.<,e (o /9- /8 E IgoCQ- NO Owner/AuthorizedA ntSig nFture Date (Revised 90/92/2095)