Laserfiche WebLink
eittr=1._ <br /> ELECTRICAL PE NT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 8200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8890 ( FAX 425-257-8857 ( (E)everetteps@everettwa.gov J www.everettwa.gov/permits • <br /> PROJECT ADDRESS: Lib- i 01,20,-14\ 0,ci . .vnv, <br /> BUILDING AREA(If residential,new construction,remodel,or additioli SF ' <br /> BUILDING TYPE: LI SFR-DETACHED ❑SFR ATTACHED ❑DUPLEX Q MULTI-FAMILY-#OF UNITS: NI COMMERCIAL <br /> USE OF BUILDING: OE 4t, EVE T <br /> ..�- ::I-mss!'^. e<��lr sl. :•c. •..3" - _ _ .r•. •,ai::r+.vK,pyprr:��•' ' <br /> ��nfs,��RILA,L'' �allll l( •t Q :•t�' <br /> .yam',+.�. �, N � . , !.• ._•'i:Li�'.4 P••... ;.�'1?;-.::�,t)._.. <br /> ....•,... ,� .... .. s .. ..i. ... ..:,;'..w' c,t.R a�.r:ro-r..:.•.acu.. a a...,•s•.r::.��gr•:rS•e..-S. 4v6.. .,a.... �._.coy.:.. .,...i.?�N.'.e• ... ... <br /> CONTRACT PRICE OF WORK:$ "7 012O <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? U YES XI NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 1E St?4,021r <•- . „� ( <br /> • <br /> -7?7 . T iiUki -9/Ji (12l tt.) L-- <br /> :+.: :{. :ti . . . • <br /> GONTACT;1NiFOR111�TON....F ,. 'f <br /> OWNER NAME: p TENANT NAME(If Commercial): yC e�/J6r <br /> OWNER MAILING ADDRESS: STREET SPO a[i/)( 3707 `,�`,Q / `] <br /> CITY ..5011'TLk- STATE •V�l d9312q-22" <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: geloaeft, �lCJ�7 j2G1�7Ial�.� <br /> CONTRACTOR ADDRESS; STREET P�oQ ox J41, //a <br /> CITY /MACIt.7V SrA1TE1Vt/* t1 ZIP/g20171 <br /> CONTRACTOR PHONE:4266' -2 94 4144 CONTRACTOR EMAIL: k*ei 1-minmE 4'k,, WIT, CDn <br /> CONTRACTOR LIC.#(REQUIRED): 1(It . vg0Z CITY OF EVERETT BUSINESS LIC.# UIRED):OL1o5' <br /> .. .•,.MSa.. *-••,4,.a.Was:r14a .X;..v...-....y.,u.,l-.� mrr v...-m•...,r.mu.:..w:,.mk,Mmwa+tlm+a+fe var�«N•n,u.,..rw.nN...au.+uut e.•-wrr... •..n+wer ..a <br /> PRIMARY CONTACT: ❑OWNER •1 CONTRACTOR ❑OTHER(Please Specify) /- ,/ <br /> CONTACT NAME: p CONTACT PHONE: 2"( 4 <br /> -73 b 5`7-4' <br /> D�'f J N 15 CI...b(/V CONTACT EMAIL: DEN J'4 Jnj.6g.04)a k1E14/i T. Lo%Y1 • <br /> AGREEMENT:T hereby certify that 1 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 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!am authorized by the owner of this property to perform the work for which application Is made and 1 <br /> comply with the State Contractors Law 18.27 RCWand 296.200 WAC <br /> City of Everett Official Use Only <br /> FEE <br /> f <br /> PERMI # <br /> ().-,P0 -/g E no <br /> Owner/Au or zed Agen Signature Date (Revised 10/12/2015) <br />