1426 BAKER AVE 2019-01-17 - Laserfiche WebLink

#1Ij",.. ELECTRICAL PERMIT APPLICATION 441. viiiii 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 1 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 14 7-6 5ov k.,,,-- Ave_ G-I et++ WA- 9 st O I BUILDING AREA(if residential,new construction,remodel, or addition) 600 SF BUILDING TYPE: $SFR-DETACHED 0 SFR ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: 7. e4.,.- G ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ C 466.60 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): o DESCRIPTION OF WORK: /,f,( Crt e- e151/j! talc/n/4)1,.f rfiitJ-..�L CONTACT INFORMATION OWNER NAME: A t e f 1 ..e/ (4-21 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET OWNER LI 13e.(. ker Atte. cm( I�.V t✓e A- STATE" V�/ ZIP g 5� 1 OWNER PHONE: LI ZS 371 5'$'7S� OWNER EMAIL: Ate. , ( -Glek)ty & �e-f-ilBPGc9►41 CONTRACTOR NAME: //j/C7/ 1-1'. /2'7 e n?,.? (5..e/1,,,,,, z 5 CONTRACTOR ADDRESS: STREET /fa 43 trv� .51--- CITY J 1-' /f CIN 1 ✓lry evgJi STATE /7 ZIP r9f f CONTRACTOR PHONE:‘..V 6— 771-7547 i CONTRACTOR EMAIL: �` CONTRACTOR LIC.#(REQUIRED)'/"Al`'(/ii/,~jttl/6-9 ,J CITY OF EVERETT BUSINESS LIC.#(REQUIRED) 4i4l PRIMARY CONTACT: ❑OWNER (CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: eW 77/ ‘'ff 4 5// / 1(( /(, .5 7,gIAxg - CONTACT EMAIL: AGREEMENT:T hereby certify that I have read and examined this application and know the same to be true and correct. All provisions oflaws 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 I am authorized by the owner of this property to perform the work for which application is made and! comply with the State Contractors Law 98.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE ( 00 60 PERMIT# C—, (9 / /J / /Z'e //8. i g t 0 _ ,/(a. Owner/ horized Agent Signature Date (Revised 90//1/2095)