820 CADY RD 2016-08-17 (6) - Laserfiche WebLink

QkLECTRIC • AL I�ERIVIIT APPLICe47'IC)N CITY OF EVERETT PERMIT SERVICES OL 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I wvvw.everettv✓a.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: � } C' BUILDING AREA(if residential, new construction remodel,or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED 11 DUPLEX 13 �77 MULTI-FAMILY-#OF UNITS: _ ❑ COMMERCIAL USE OF BUILDING: QIJY_AtTMI 1vwlJ ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ U-k_C6— NUMBER OF DEVICES(if low voltage): FIRE ALARM? JE�YES ❑ NO 7ttj ASSOCIATED BUILDING PERMIT#(if applicable): ;a 10- DESCRIPTION OF WORK: r ,tC � �Y1Ci r �_ Y,,�.�.. t (1�- s�7� I`r55�4►�G Ili �'�'`� � taE::V.:) A ,� t w, 1 ►v� CONTACT INFORMATION OWNER NAME: " t- j�j TENANT NAME(If Commercial OWNER MAILING ADDRESS: STREET �� •� STATE �-+ ZIP G' OWNER PHONE:4l • `LCI } - OWNER EMAIL: CONTRACTOR NAME: l_,,vt\ (1 CONTRACTOR ADDRESS: STREET ,, _ -4 -► ,(l STATE CONTRACTOR PHONE:/ CONTRACTOR EMAIL: `= - 1 �U C.► _ C G CONTRACTOR LIC.#(REQUIRED): ��1 "v"5 ,� (. CITY OF EVERETT BUSINESS LIC.#(REQUIRED) PRIMARY CONTACT: ❑OWNER IS CONTRACTOR ❑OTHER(Please Specify)_ CONTALNAMEL: L CONTACT PHONE: -0 CONTACT EMAIL: C_C�11 AGREEMENT:T hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type o/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 l comply with the State Contractors Law 18.27 RCW and 296.200 WAC City of Everett Official Use Only FEE PERMIT# Owner/Authorized Agent Signatu e Date (Revised 10/12/2015)