4924 ALKI DR 2019-01-17 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION , 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 AVAIRO tOrittvgil At-161 PROJECT ADDRESS: 1 P BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: CONTRACT PRICE OF WORK: $ . , NUMBER OF DEVICES Of low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT# if aplloabie); DESCRIPTION OF-WORK,. . ...' ° _. OWNER NAME: a t I W t TENANT NAME(If Commercial); _.. W OWNER MAILING ADDRESS: STREET I c 4 J e w STATE I ZIP _ OWNER PHONE- 4Z 355 "i TQv ER EMAIL: .. CONTRACTOR NAME jelfaill CONTRACTOR ADDRESS: STREET 41f5 WO cnv ..,.� . atATt' 2E�. CONTRACTOR PHONE 4 5 CI:O9 CONTRACTOR.i MAIL`* ,e �' ,: . � S vv./ COtf'RACTO LIC ?t€(ReCtttll ) n+>' '"" -Lan CITY OF EVERETT BUSINESS LIC #EcuREQ,i " R% PRIMARY Y CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: le CONTACT-EMAIL ` - AGREEMENT:1 hereby certify that have read and examined this application and know the same to be true end 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 t em authorized by the owner of this property to perform the work for which application is made end 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# 16.2.7-1,7 E 0 . �Z ownerfAuthodow Agent;Signature Date (Revised 9/23/2016)