Laserfiche WebLink
I <br /> IOW ELECTRICAL PERMIT APPLICATION <br /> d_ CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 ( (E)everetteps@everettwa.gov I www,everettwa.gov/permits <br /> ,PROJECT ADDRESS: if, r <br /> BUILDING AREA(If residerttish new construction,remodel,or addition) SF <br /> BUILDING TYPE • <br /> _INQ PE: F(R D ETACFIED 0 SFR-ATTACHED 0 DUPLEX ❑MULTI-FAMILY-#OF UNITS; <br /> USE OF BUILDING: _ - r Q COMMERCIAL <br /> CONTRACT PRICE OF WORK: $ <br /> NUMBER OF DEVICES If low voite.e <br /> FIRE ALARM? <br /> 0 YES <br /> 0 NO <br /> ASSOCIATED BUILDING PERMIT# °ag o licabie <br /> it <br /> F IPTtC?N.O <br /> V 1 <br /> V !. s At ' :rho,' . <br /> ' • '-.1.--'4`.:.: <br /> b' ',,,.':"'s,- <br /> te^ i ! 5 9;' � i)14':4'''- ' <br /> 44, <br /> kF <br /> C7�t�lfl±thFC NAME. <br /> `P . �.t . TENANT NAME. f,Orn <br /> OWNER MAILING ADDRESS: <br /> stEt -:.. . p 4 fid. - " <br /> Ct'tY dAhrt.!w ' . STATE <br /> 01ttlNIR PHONE: s as <br /> a .4„, OWNER EMAIL: <br /> CO14'1"RA TOR NAME: ji. A i _ ' "... <br /> CONTRACTOR ADDRESS: STRPEt <br /> ' • <br /> , Sw TAT { i 2C/dCONTRAOT£ PHONE:, >. co�► se 6 GCi RACTOFEMAIL: -P., ae '° r. # ar r Yl�AC" I e <br /> AM611, 00 <br /> CIT}'i 'I"iit1'T BUSINESS LIC, `"REIrtt,itft 'e o 0 as <br /> PRIMARY CONTACT: ❑OWNER f <br /> CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: <br /> CONTACT PHONE: 5 0/64,D.' "6, <br /> n <br /> . lC. CONTACT EMAIL <br /> AGREEMENT.I hereby cert6,that fhave read and examined this application and know the same to be <br /> and correct All provisions of laws and ordinances� governing <br /> �t t) <br /> of work will be completed whether specified herein or not. The granting of a permit does not <br /> local law regulating construction or the performance of construction. That!am authorized by the owner osume to f this authority to violate er or cancel the this type <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. provisions of any othersfate or <br /> property to perform the work far which application is made and/ <br /> City of Everett Official Use Only <br /> PERMIT# <br /> i; <br /> Owner/Authorized Agent Sign tura' ' V �' Z <br /> Date <br /> (Revised 9/2312016} <br />