4841 ALPINE DR 2019-01-17 - Laserfiche WebLink

LECTRC/AL PEI- MIT AJICATIION ;:;7-4:00:,,_,„ 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 j www.everettwa.gov/permits ..s, .....r.:' J .SITE 00,0010..14'000..',:_'.1: PROJECT ADDRESS: geS7/1/ '/)ge/ibde, li)f' a2.4 , ! i�. BUILDING AREA(if residential,new construction, remodel,or addition) 75-0 SF BUILDING TYPE: i'R-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING:. , cl ertT%of L .. ... .•• ELECTRICAL.APPLICATION INFORMATION CONTRACT PRiCE OF WORK:$ NUMBER OF DEVICES(if low voltage):• FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): • DESCRIPTION OF WORK: erar'•fi fik b---1114 t Vte G7�o/4 - Ea,'/0 --/V-6 OWNER NAME: J4.6 £4(aGerS T NANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 'i / tilt jrl1 C/ CITY Eaeretl STATE a-JA/T/ ZIP ? o 3 OWNER PHONE: g_;,i i 3i�•57,5-i / OWNER EMAIL: /OM/t c�-ur lett. G l ya k00 . Ce7 l CONTRACTOR NAME: /J6J/tct1 C4ra%ev`c / CONTRACTOR ADDRESS: STREET [ ,¢aur - CITY STATE ZIP CONTRACTOR PHONE: ij CONTRACTOR EMAIL: ' CONTRACTOR LIC.#(REQUIR CITY OF EVERETT BUSINESS LIC.#(REQUIRED): ss ` PRIMARY CONTACT: ~ OWNER Y ❑CONTRACTOR v` xCI OTHER(Please Specify) CON ACT NAME: CONTACT PHONE: ff� -1 •. j>S// . i aia � CONTACT EMAIL: ai^Chc CA/fiber-C.&rl�bc i. e0of 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 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 tam authorized by the owner of this property to perform the work for which application is made and! comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE . • PERMIT#Qodi,C44....."....-- !0 `13- F Cgto--ziq r Owner/Authorized Agent Signature Date (Revised 10/1212015)