Laserfiche WebLink
00004, ELECTRICAL PERMIT APPLICATION <br /> -.- CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERE 1 t, WA 98201 <br /> (P)425-257-8810 f FAX 425-257-8857 (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> .....,fti� .,.i„.. . .e.. .. ...,. ... ..,:r:.. , . .. ...r ::8or',.d�--..:•ter pG..,•a�.•..wr., <br /> PROJECT ADDRESS: Li 4'-t•'t �L , �_U ) w ” <br /> BUILDING AREA(if residential,new construction,remodel,or addition)g IPlf1 tr <br /> SF <br /> BUILDING TYPE: 0 SFR-DETACHED ❑SFR-ATTACHED 0 DUPLEX Q MULTI-FAMILY-#OF UNITS: NI COMMERCIAL <br /> USE OF BUILDING: <br /> ;es.�?'. .•,.. 'x::9'f,,+ y,..x ,.m., •.',.... - — -r...,!H•s,y. •:rr,ti•t;.j`��..'�... <br /> �; E� �T 1��L• ,PIL•A(�' -.�O -� tOR� .T�OIdi• .r: �•;: <br /> ..... ..-.. _... .. .. .. ......... �.:4'.v�{y<il.:w.dx.tyln.Yw+n;..�:4.. a t...:a•}.i.:.�•,�.,..Y`.`O•:n'•.•. S. troi... .. aC+m•.'a....4,�.\_,- . <br /> CONTRACT PRICE OF WORK:$ S ) 2 no • <br /> NUMBER OF DEVICES(if low voltage):• <br /> FIRE ALARM? ❑YES NO <br /> ASSOCIATED BUILDING PERMIT#(If applicable) <br /> DESCRIPTION OF WORK: 3-7 P ni EILtbL,006,00 <br /> 7774 t/ -3 't) -v0 <br /> ...��.„ .:.. - i:1- • : -- -�; :: ._.. . . . ,Ct011�'i`,A.GT;INFO( ATION:; '_- . . .. .� _ .. . ,. �. .._ -.- . . -....,i <br /> OWNER NAME: TENANT NAME(if Commercial): jiJ6 <br /> OWNER MAILING ADDRESS: srnnar pa ,3x 3707 <br /> CRY 5EATT E- • STATE v/f g/2q-2207 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: ( ,r}8744-G. /lU� j <br /> CONTRACTOR ADDRESS: smear Po Lox 41, �j /�!�4/ <br /> CITY Thug IGJe 2 STATE{J�/� apq$2D - <br /> CONTRACTOR PHONE:426-2/4-6144 CONTRACTOR EMAIL: ki4-/21. Hm/17/1 EgtP kilwi r. 60inl <br /> CONTRACTOR LIC.#(REQUIRED rjE/V64q�1 a CITY OF EVERETT BUSINESS .�LIC.#(REQUIRED•O40 5 / <br /> a. ".,.... ..,-...$ l_ WW$*,N.f - :._ ,•.. . <br /> PRIMARY CONTACT: D OWNER IEC CONTRACTOR ©OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: .206-73 6-tp54Lp <br /> D N rY 15 CSD l CONTACT EMAIL: DEN f/(s3.e .O J k1Ev►/r!T. Lf onl <br /> AGREEMENT:T hereby caro,that t 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 authorgyto violate or cancel the provisions of any other state or <br /> local law regulating construction or the perfomlance of construction. That i am authorized by the owner of this properly to perform the work for which application Is made and I <br /> comply with the State Contractors Law 18.27 ROW and 298.20d WAG <br /> City of Everett Official Use Only <br /> FEE <br /> 1 <br /> PERMIT tf <br /> -/gs E 105- I <br /> OwneriAu or zed Agen Signature Date (Revised 10/12/2015) <br />