5811 HIGHWAY PL 2019-01-08 - Laserfiche WebLink

'ELECTRICAL PERMIT APPLICATION i CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS tl BUILDING AREAS{(I;residential,new con„truetion,,remodel or addition)' SI=B___ RUILDING TYPE 0 SFR-DETACHED , SFR-ATTACHED D DUPLEX, 0. .MULTI-FAMILY_#OF UNITS:.__.._ D COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK $7. OI!] NUMBER OF DEVICESlif low voltage); FIRE ALARM? YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable) -Paa'e--s DESCRIPTION OF WORK: .. _.-1. v 4- _ ___ . ___ . _ ____ . _ _______ . _._____ .__ . __ _ , _ _____, _ : _____ _ _ . _ , . , , CONTACT INFORMATION OWNER'NAME; ' lit;, " ,fir TENANT NAME(f Commeircial) , OWN),R MAILING ADDRESS .. _STREET ' ,1t O_- Vt ctb &L/D: .5TE .6:6 CITY ii STATE _.-zle �I � _- Ob� a �It�r_. OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME . VIM [:<1 4-ri� A CONTRACTOR ADDRESS _ STREET QO tOOK7 -J_0-$7 — _CITY aVit e1 _ ___-.. STATE, A _.... zip cm -z, CONTRACTOR PHONE 1.:S3.-,43,� ox Qg CONTRACTOREMILCY1tendItD�etkrk 7�� J • CONTRACTOR LIC.,#(1 QUIRED) .'pe'j`i.,:l' .: }[� ., CITY OF EVERETT BUSINESS LIC''#(REQUIRED) Q•'"433Z PRIMARY CONTACT: ❑OWNER ilitt ONTRACTOR 0 OTHER(Please Specify),. CONTACT NAME: S n�y), (',kftek .C, CONTACT PHONE Z53,� i -7 75Ox 1 OZg CONTACT EMAIL (JOE tiii�t 3( 10. n4,041-410,,a414(...,aeff AGREEMENT:I hereby certify thet l have read and examined this application and know the same'td be true and conic,Aft 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 WAC. City of Everett Official Use Only PERMIT# MIlves1/4._„,.... L f55- --1 E 1'10 '4 - fi-1 i 1 , Owner/AuEfiorized Agent Signal Date "- ` "' 1Revised 9/23/2016)