820 CADY RD BLDG G 2019-01-03 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION A, eeii.0 " gym; rEr 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] www.everettwa.gov/permits PROJECT ADDRESS: . . . . . . ...... O BUILDING AREA(if residential,new construction, remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 S r 'ATTACHED 0 DUPLEX I' AULTI-FAMILY-#OF UNITS: 0 COMMERCIAL !USE OF BUILDING: ,./L: S OIL>ECTRoCAL AIPIPbuCATIOM INFO,, aATlO CONTRACT PRICE OF WORK:$ 'l'( <<Sll,D NUMBER OF DEVICES(if low voltage):. FIRE ALARM? // YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: `- / 14') ' ''q e/ i e� e tii CONTACT INFORMATIIOY%t9. .. s _1 OWNER NAME: n I �.� +•u (If Commercial): OWNER MAILING ADDRESS: STREEr S �� i St g�� v CRYfrig STATE I� ZIP `gd p X 1 rL © 1 V U OWNER PHONE: <�Q6 �b6 JR/�Oy��s OWNER EMAIL: e, c 2 s &I_,C07.7..... CONTRACTOR NAME: �( tut C� 4e'Z� CONTRACTOR ADDRESS: STREET ,76--A-dee----17-6-_,,, e—,1,,,,, , ' 9 / CITY STATE ZIP L rL zo CONTRACTOR PHONE: ,,/ CONTRACTOR EMAIL: J�€%' 1 1��'«�7 -z G .L'��1./ CONTRACTOR LIC,#(REQUIRED): ki/1/1/U 1 tv_V _(1 19!1 �_ �' CITY OF EVERETT BUSINESS LIC.#(REQUIRED):D Z/O I-RINARY ON CTACT: L7 Owr4ER Y CMONTRACTOR 0 OTHER(Please Specify) -'"",_ w.�_. �}, . ....__ M.n v CONTACT N j CONTACT PHONE: 476' SIS /J S7� �'� i� - CONTACT EMAIL: iu�� !/�l- it/`j—e c AGREEMENT:T hereby certify that!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 1 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 WAG City of Everett Oficial Use Only FEE it 6.-42. ------- e*- . PERMIT# E i 16 g—ti 6 Owner/Authorized Agent Signature Date (Revised 10/1212095)