|
.,,,,,VAOS 775—
<br /> -7�f�Fe
<br /> ,011100. ELECTRICAL PE ti",MIT ` PP UC,%T'N•••N
<br /> ,ti/v ,-- CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT, WA 98201
<br /> (P)425-257-8810 1 FAX 426-267-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits
<br /> PItO !':01`01 �. .O 'EI'Ik +1>``:'
<br /> fir. � �--
<br /> ..,:00,00:�ti:..... . ,. J....r,. .. .. .. 000.0 :,.,... . :'iJ ,.,ta•,-V4•ir .-.- ,.h••r.•..��..:�:w..- 0000--r-.., n., -I t a.. ... _..__ .,,r�,. .. . .. : 0000 i.7.:1:-,?::71. ::::-:.2,7.C];'
<br /> _ ... ..... ..r
<br /> PROJECT ADDRESS: .10 —4,1 3 �. rI' i I -1, "`�'. aof ,
<br /> BUILDING AREA(if residential,new construction,remodel,or addition SF
<br /> BUILDING TYPE: D SFR-DETACHED D SFR ATTACHED D DUPLEX IQ MULTI-FAMILY-#OF UNITS: NI COMMERCIAL
<br /> USE OF BUILDING: RO 3J4 EVaj
<br /> -r f.. , ..- -t. ---. . .•- •. 0,000..•';00..Y._L,.:.,�nE...YOg:..e;Qy4T.:•x;.rv-RatHC.AeAiA�...:t:1":•tz..n �T�l^O%b:rl•l..+i OVt.R'. ..M•i.AVeT•:Ji,.�•1O..t.M\t•,t'.. .....y.... ;.i.:ij'i...l.' .:anr:•.yetTljc:r•.-,.�'n.+
<br /> ....,
<br /> CONTRACT PRICE OF WORK:$
<br /> :L.
<br /> if' , ¢
<br /> NUMBER OF DEVICES(if low voltage):•
<br /> FIRE ALARM? El YES $J NO
<br /> ASSOCIATED BUILDING PERMIT#(if applicable):
<br /> DESCRIPTION OF WORK: -277 w' , kiE!#. i/ ti4 ,�''/`: e.z ...k.
<br /> •
<br /> n-; . . • : . .. , •.'r: •Cody ''AGT;NNFORtiMgv'Tl(ON: . .. y t.
<br /> , ,...�.. . . , . _, .. . r . . . 0000 .. - ... . . _, .. . .. _ ... .. _ 0000 000,0_
<br /> OWNER NAME TENANT NAME(If Commercial): BCE/A.)6
<br /> OWNER MAILING ADDRESS: STREET lb ('X,'5707
<br /> Y r�L.'
<br /> CnTLE STATE "'oi- w 3/2'/22'
<br /> OWNER PHONE: OWNER EMAIL:
<br /> CONTRACTOR NAME: �••„en ', ('atJ5neUCT/biu
<br /> CONTRACTOR ADDRESS: STREET P0 82X
<br /> y4ff'
<br /> CnY mag,'//L7 22 STATE Q`r ZIP9g2�4
<br /> CONTRACTOR PHONE:426-2/4 144 JCONTRACTOREMAIL: k/t',�1. H4mmE k& or. CM
<br /> CONTRACTOR LIC.#(REQUIRED): 6EA /C. '1D Z CITY OF EVERETT BUSINESS LIC.#(REQUIRED):Q445'1,j
<br /> �.+..Mv,wsz.-.w�tLV•Y'-m rP�.�a,1M+ra ..t*... 4.NHWw•t4W,✓4 Ifl.,:Bs•e,a,. 4vu+• ••)11Wrw.cs.•t,w„nnhx.l•rt.vv..wwm-.rrv..�eaw+M✓.:,nvw-a:••Y••�•+,+wuwew,r"F.^.'+Y.`.tar•+iY•w.
<br /> PRIMARY CONTACT: ❑OWNER '-I CONTRACTOR El OTHER(Please Specify)
<br /> CONTACT NAME: CONTACT PHONE: 206-736-654-47
<br /> 1J Ju
<br /> De 15 (a tet 0W CONTACT EMAIL: DCKOI.t)4 /EL T. 4.2/.._z___)
<br /> 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
<br /> type of work will be completed whetherspecified herein or not The granting of a pennit does not presume to give authort(y to violate or cancel the provisions of any other state or
<br /> local law regulating construction or the perfonnanco of construction, That I am authorized by the owner of this property to perform the work for which application is made and!
<br /> comply with the State Contractors Law 18.27 ROW and 296.20d WAC.
<br /> City of Everett Official Use Only
<br /> FEE I.
<br /> PERMIT#
<br /> A �,,}Al , / •'' • 6 E I WCo' DTI
<br /> .Owner/Au arized Agent Signature Date (Revised 10/12/2095)
<br />
|