6703 BEVERLY LN 2019-01-17 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDARST1REET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwagov I www.everettvva.gov/perrnits ';'1;:fgaitM1F,:tatzkr„7"Z:lr:IIMitt-!;-K PROJECT ADDRESS: BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: I SFR-DETACHED tFR-ATTACHED 0 DUPLEX 0 MULTI FANCY_#OF UNITS: 0 COMMERCIAL USE OF BUILDING: f':01--.77,T.* ::i1';';`AW,a4,4:1Z4noSIWTS'41;r1 In; I':"54Fr'1, 71T,, ' CONTRACT PRICE OF WORK: $ 5 VI NUMBER - NUMBER OF DEVICES(if low voltage): FIRE ALARM? DYES 16. 10 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: c, re,„„&y\if-Nia fv,c, OWNER NAME: ,S Ct‘n \?...:( TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1,S)1 ern' et342-415 Ajr STATE Una__ zIP0N-a a6 OWNER PHONEA 55—(itS k 1 OWNER EMAIL: CONTRACTOR NAME:NAME: \A6(4)- -k---ftsw\ ea,A i'Ne"‘T.N. rveS...,, A;s CONTRACTOR ADDRESS: STREET esy c ,F) STATE p, ZIPSS11, b CONTRACTOR PHONE: -\a5 '3 1 5 --t-koxci CONTRACTOR EMAIL O`CCC e@Acter‘Si-rovvOr\e‘,...4 % ( 'fl CONTRACTOR #(REQUIRED}:9rcL8iLUD CITY pf EVERETT BUSINESS,LIC.#(f1EQUIRED):C5(4 4,) PRIMARY CONTACT: ID OWNER *ONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: s e 1-4 .s•str- • 6cOst,:. 'CONTACT EMAIL: t ecS A A.c4-r-eiNNA.84Nea"\--ii%>LC\')/Vs.:, AGREEMENT I hereby certify that have read and examined this application and know the same to be Ina and correct All proviSions of lawsand ordinances governing this type of work will be completed whether specified herein or not The granting of a penrot does notpresume to give authority to violate or cancel the pmvision,s.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 18.27 ROW and 290.200 WAC. City of Everett Official Use Only PERMIT# E st 0 -totif Owner/Authorized ent Signature (Revised 9123/2016)