Laserfiche WebLink
ELECTRICAL PE-,MIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERE I I,WA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 I (E)everetteps@everettwa.gav www.everettwa.gov/permits <br /> itij"2'•'"+'• _ _ ::'>'� - 's r `.ae ,.ryrye�!! - j�� 1z•••, YY _ _ .• :r.r:•• - <br /> f:a..•... .. .. ...i.•.,..✓. �J: .. .. .•. ...w .r .. t. ..o-;Jp..:'.f... f=.I'•Vl_.5.:1T+:V.vt.. :.I.a.. ... 1♦ ev.*�.. .�..._r... _. ..� ._ . — _. .•.. .0 <br /> PROJECT ADDRESS: T)" 4 ( if .O. U Vr r <br /> BUILDING AREA(If residential,new construction,remodel,or ad ion) SF • <br /> BUILDING TYPE: El SFR-DETACHED El SFR-ATTACHED ❑DUPLEX El MULTI-FAMILY-#OF UNITS: COMMERCIAL <br /> USE OF BUILDING: Q� xiG Elle • <br /> .1.;1.!.. .:!-:07#0!)11:041;.�_ ..,. .. s .. ........ .... :_'e.a..na OWN:.=..:00:'... ..4..» H.•y�y+:•,v.=. _,,.,..r�y4'r,•.t:;:tr:•_:c;.•;A•,.4.:...;n:(`01°'::.,},;c,:t.. <br /> CONTRACT PRICE OF WORK:$ ` t ZbC) • <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? I:1 YES NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: I \L u)0000 Tool f tit <br /> • <br /> OWNER NAME: TENANT NAME(If Commercial): BCE/A.)6 <br /> OWNER MAILING ADDRESS: STREET pa &,ax 3707 • . ' /� <br /> CITY ,5 ' TTLE STAGE t 1/V- z/7 /2?/2207 <br /> OWNER PHONE: OWNER EMAIL: <br /> . NV • . I. •.. y _Yy. y r . . = M flv •.. u .•,Y . ...�•. l a1 •I •• 1 .w• .. •• • N w• =y4 .• ... ..♦ .r <br /> CONTRACTOR NAME: gl., l 57- /.'G/.7'/aI, <br /> / <br /> CONTRACTOR ADDRESS: STREET 1%' $OX 44 <br /> cmr mai JL,-G7 STA'f4A/J ziPgs.20 <br /> CONTRACTOR PHONE:42 -2 4-6/44 CONTRACTOR EMAIL: kite./. NAM E f2& wl r, L'DIY? <br /> CONTRACTOR LIC.#(REQUIRED): �N�� a CITY OF EVERETT BUSINESS LEC.#(REQUIRED):Q21e52/ <br /> -.•..,•..un.•w•....,w:.-•+fa..•.•,••.e I ..•.la+.M...,.�•va•..,..�.WM ,....nvn>w.•o. ...,.. •-.w.v.«s.nr n..y,. r mvn.rr.-as••v.+.....wn....Y.yy+r«.,e.W.y ,:,.e...n <br /> PRIMARY CONTACT: ❑OWNER El CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 2 -7 3 , 5462 <br /> . 115 -&'W CONTACT EMAIL: DENA/IS.CA014)a k!Ewt1T. IoM <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 /> typo 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 <br /> local law regulating construction or the performance of construction. That 1 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 98.27 RCW and 298.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> cQ <br /> PERMIT# <br /> :slid A/JJ�r / 5-23-01 E 1 (6 65— ( (0? <br /> Owner/Au or zed Agent Signature Date (Revised 10/12/2095) <br />