820 CADY RD 2016-08-17 (7) - Laserfiche WebLink

*LECTRICAL PERMIT AIRLIC OL ATIC)N CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettvva.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: C) CLKL — " � , —7t I BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX n,MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: C�Cs�lr�t7MtY �Lj(YL`.J ELECTRICAL. APPLICATION INFORMATION ffUM1B3ERC0FPDE1VICES E OF WORK: $ -�ZcxW (if low voltage): FIRE ALARM? 'Q YES ❑ NO ASSOCIATED BUILDING PERMIT#(if applicable): t4 y� DESCRIPTION OF WORK: i` ,U.�t\r'\C, ILC_ '()-�- , F�I��ZG �y;-t•t ��(°� �-Cj �� CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial : ` OWNER MAILING ADDRESS: STREET ciry ZIP OWNER PHONE: 4�'ZC3 • 2C1v - �� .� OWNER EMAIL: CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE CONTRACTOR PHONE: =Lis- �, . l1 CONTRACTOR EMAIL: \�e r )il; , CONTRACTOR LIC.#(REQUIRED): `L-U C14 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑OWNER b CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: v CONTACT EMAIL: /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 AGREEMENT: Thereby certif 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 focal law regulating construction or the performance of construction. That/am authorized by the owner of this property to perform the work for which apolication is made and/ comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE PERMIT# Z-o�• L,0 E 9 Qwne rl wtnorized Agent Signaturk Date (Revised 10/12/2015)