|
ELECTRICAL PE S='MIT APP ICATI•N
<br /> _- CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET,EVERETT,WA 98201
<br /> (P)425-257-8810 J FAX 425-257-8857 , (E)everetteps@everettwa.gov l www.evereflwa.gov/permits
<br /> •.•i�^.1'•.�a.{•,' ,.!•: :f•`' r:s 4.+ .::i'•'}.i: .p.rt .:f. ..gip-.•...: _ .:a•„ .t..t...n.T .w:rw�tv,� •if _ ,. •
<br /> ^•1,•. ..w._.;,:.. f
<br /> ti, w°��iv. ..e f:.•�.......t.�•i+: .. .. ., ...e ...�f.:a,.... ie•0.-•V.f•.^�m�ri•'.��r.w♦A/�Ro. r�e..•�i'+i:avN.:..n.t... ..... .ft....._ai..�:,�..',•'t�... . ... .. .. .f e�:S•.
<br /> PROJECT ADDRESS: 1.10-;2,(--i - 16l f 1���I��� t.,o t �� .....
<br /> BUILDING AREA(if residential,new construction,remodel,or additiol'I; SF
<br /> BUILDING TYPE: ❑'SFR-DETACHED 0 SFR-ATTACHED ©DUPLEX C1 MULTI-FAMILY-#OF UNITS: NI COMMERCIAL
<br /> USE OF BUILDING: jQ� (� EVV TT' '
<br /> n7�f`•_"eE•" rrY�'$i*.M11;.... ..k /+� ,u•k.. n-t"rpMON
<br /> Vis, . ,_. E 4�'a.i�R�.C••�T+•�±,,�;As•�� -yl.��•'�j'�� .®... ..q A.�Q•{h® {�x� Y O e��:•��tj,'_}'�5;•.. s�:_ '.:1'�"�25,{�
<br /> SJ.b♦..{...1• ,W;�,:i1.i:.a•1.n:•f..-.-..•f.ti:. .�.:S.I.O<.�}M.1SM+'isrypi},4:L�i:ie'j V....il l•'.•I,i'• '�l:I RA N t'L'2 1t•J •1• N.•4 i'♦._4`i�w..:..i:dl.�♦:fti.�k".�.ttvtSG,fi'li.�..•yn.fi�li•g2:['><1.T�6�a
<br /> CONTRACT PRICE OF WORK:$ 00 0 •
<br /> NUMBER OF DEVICES(if low voltage):•
<br /> FIRE ALARM? D YES g NO
<br /> ASSOCIATED BUILDING PERMIT#(If applicable):
<br /> DESCRIPTION OF WORK: l 0 ?W' .11 Q( ..) c5( t) -70 1bc) I i 4 •
<br /> •
<br /> •
<br /> ..::•Y.+.- '+;u... :t .. , _ .'. ... .!.. fif.-.w-:• _ •r.. •1'-•, .-i•:•.. _ ..5 .. •t: moi. ..- .. ` f .�..t._
<br /> OWNER NAME: TENANT NAME(If Commercial): BCE-htg,
<br /> OWNER MAILING ADDRESS: STREET Pa &,px 3707 •
<br /> crrY .5E11.711.8"--' sTATE n zi09022/22a7
<br /> OWNER PHONE: OWNER EMAIL:
<br /> ♦.. . YV •. M .e• h _.4•• 4 .._. ♦ f N la r. l ,.. .••.,'.• . r .i ..s •. t �._. • .. a w .i+♦ •a4 r. f., fr. w
<br /> CONTRACTOR NAME: (' i06 e t 'a.J5neuerrok.)
<br /> CONTRACTOR ADDRESS: STREET Po $DX 44 .
<br /> crry STATEJ/! 7JP gg24J4
<br /> CONTRACTOR PHONE:426-214-6944 �CJONTRACTOR EMAIL: kthei. H4/YJ/}?E g)ki,'w'T. CDin
<br /> CONTRACTOR LCC.#(REQUIRED): 6EAl18g -T D z CITY OF EVERETT EIUSINESS LIG.#(REQUIRED):02-1O5'J']
<br /> Na..t+`��'T. ....aurrwww.'+n.n.wn...e�...ow.�wsa 1. -..wwew..•.+w-..u.....rL..-s........,.w.+Y�.....,.�w+,...,+w•.raww.aew.....�uaw.rt»rw..v..ww•er♦+.wvwlvn•.iw nw...gwF=+a<...-«..x'.�♦ •+..
<br /> PRIMARY CONTACT: E7 OWNER ISI CONTRACTOR I-1 OTHER(Please Specify)
<br /> CONTACT NAME: , CONTACT PHONE: 206..'736--65447
<br /> DENNIS 6e.ow CONTACT EMAIL: DDNNIS.L�, Old kik—MT. 60131
<br /> AGREEMENT:T hereby certify that I have read end 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 whetharspecified heroin ornot The granting of a permit does not presume to give authorilyto violate or cancel the provisions of any other state or
<br /> local law regulating construction orthe performance of construction. That!am authorized by the owner of this property to perform the work for which application is made and I
<br /> comply with the State Contractors Law 18.27 RCWand 288.200 WAC
<br /> City of Everett Official Use Only
<br /> FEE Z,SC)`©c9
<br /> 4 s
<br /> PERM;#
<br /> 1,/z .-// E 14,06- 0(6,6
<br /> Owner/Au or zed Agen Signature Date (Revised 10/1212015)
<br />
|