1228 BALLEW AVE 2019-01-17 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION Imo, CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 ( FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits ttlQpL ; ♦ �, . '+.- � �onE� _�....�.., �: v�.i-�a'¢s�,.� .w__x}.. PROJECT ADDRESS: %aq a 3Q/( t,✓ v� BUILDING AREA(if residential,new construction, remodel,or addition) • SF BUILDING TYPE: 0 SFR-DETACHED SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: (R..,42_. i *A:70..; M , ^ x .Et„E-C' 'RtCAVAPP idAftiO .. tkRIIr'Alt k ,, gt a CONTRACT PRICE OF WORK: $ D c) NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES ONO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: L) f 6-Rack-I- "3't' V`Qvt4 e e_ oT `L"✓- ?‘ +1 t Ca,®C CLT "3 -ri�1 �d ;�'C�.e� re,e V )Q.,1 OOT CONTACT INFORMATION OWNER NAME: 0 4"-e TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET \ `Z zqfV 1 loct' -2. l 'e Q g..L 1 CITY STATE tAke U) ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: C. v .3,„) C_-.V-�-�7�'L 1 K CONTRACTOR ADDRESS: STREET 59/3 1-L" 2 Z 5T .S CITY /14b1)14T 11� T�1C?>2��- STATE (,t G; ZIP (b CONTRACTOR PHONE: "D to rzsos CONTRACTOR EMAIL: C e i - /.. C CO 01 e,T, T, Vt t ,1 1` CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): t 1 C—1 PRIMARY CONTACT: ❑OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 4 a S Z i p 5 Q� m /y -R /3 CONTACT EMAIL: -7-(o 6.6y4 AGREEMENT:I hereby certify that I 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 I 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# E Bo'1 I l Owner/Authorized Agent Signature Date (Revised 9/23/2016)