7511 BEVERLY BLVD 2019-01-17 - Laserfiche WebLink

LECTRICAL PERMIT Ani DUCAT ON CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 J FAX 425-257-8857 J (E)everetteps@everettwa.gov] www.everettwa.gov/permits . . :.. ... .... '� `......... P :RO�Il�C`�'SI`I't� INF o>l�M�aTI01��: " +" PROJECT ADDRESS: • 7,.57/ hI e,lJe✓li / L.?Jvd BUILDING AREA(if residential,new construction,remodel, or addition) SF BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: Ill-et5VIMERCIAL USE OF BUILDING: i � S4, ELECTRICAL APPLICATION (sNF®R`'.A�1lON._ :. CONTRACT PRICE OF WORK:$ �,%9 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Ser v'ce CONTACT INFORMATION :: OWNER NAME: ,/��f 6-e/(y TENANT NAME(If Commercial): /`�e�e)/` Ses.-ljc , OWNER MAILING ADDRESS: STREET 7S `/ lSe(je.i COY _ r/`e-av STATE 4...9,4- 1)--0 ZIP .2(/)p 3 OWNER PHONE: ... zi.�S ,36-$"..,L, ,erg OWNER EMAIL: CONTRACTOR NAME: 0S'r CONTRACTOR ADDRESS: araaEr ,240/C- Sf S CITY pc e.w — STATE ZIP t �' CONTRACTOR PHONE: yds 7$c 3_4-CC CONTRACTOR EMAIL: 0 ' BSc �s Gayer CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED):� .a-3 ?,_._� PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: �1�7 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 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!am authorized by the owner of this property to perform the work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE PERMIT# 411P n 00- Owner/Authorized Au Signature Date (Revised 90/9212095)