Laserfiche WebLink
lam•6,012,4W5 ( .993.), <br /> ELECTRICAL r IT *,PPLICATION <br /> • <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-88110 1 FAX 428-257•-8887 J (E)everetteps a@everettwa.gov 1 www.everettwa.govlpermits <br /> rnr._ `_.•S.. _ _ -7:Sa. ::i:...{.r•- _ Y.�--�. *�pzr _ - sry_�,,pL_4 -yµy_..M_�.e/lc�w•�_•.ti.}t ..;,},� :�•-.-_ �.t,.�:� _ rz' <br /> r'1' .l•• .i�.i y1� �{�4��t1���. 'r1riR®4 NVAi_RM�® u•Y. _ 9=x:,'v+ •.j <br /> iii � .� ..J..,...... ..'- .� ... ...r. .r. .. .._. ... Y74.9 ..•.. .�r••H...l.:.t_..Nyi:. uh�'•::F.::r.•+::.:Wy:�. .u. i� ...i....�.....a.-. ... ....r r _ .:•'h•.L:.. <br /> PROJECT ADDRESS: + z, -27. f', T- •,5 <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF • { <br /> BUILDING TYPE: El SFR-DETACHED El SFR-ATTACHED 0 DUPLEX El MULTI-FAMILY-0 OF UNITS: 14 COMMERCIAL <br /> USl OF BUILDING: 0E1 G <br /> ich:ril�r i�'t.•�•�, .t.R.><jS,'ry,:•{'.;}y:fiwrmi.ta:....;::l`.. ,:^..y..:.•.i••...`i.t:�\'':.��.ro+i�:.l. E..c'rV.�tge•ea•Y.E.4^aq 7Tr:i-.•j <br /> •t rT \ION _ "Ln5yn • r <br /> CONTRACT PRICE OF WORK:$ /0 E5,74-7l <br /> NUMBER OF DEVICES(if low voltage):• <br /> FIRE ALARM? D YES 14 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): r <br /> DESCRIPTION OF WORK: eQAda 75/2 ,7/1, e521 �QS'ME/g3/W40Q,00 <br /> • <br /> •• <br /> . ,+CO 7"ACTN)ORMi4T)<ON... ' . <br /> � -.-..t..�... •},.. _.t -. :.. _ ..-. .._ .... ... :}_Y•., _ r•.•t •:1•-+u ..t•>•:.'ti ..v .. t. f.� r. ....•..tip- t? j�•,•_ v <br /> OWNER NAME: TENANT NAME(If Commercial): BeEi t.)4A <br /> OWNER MAILING ADDRESS: STREET Po 60x 3707 <br /> CrrY ..5e r7'La_ STATE U1l/1- 21p3/2'/-2247 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: <br /> ( jf)E4,4 C.. ePP €1/8.T/0/0 <br /> CONTRACTOR ADDRESS: STREET P© 130X -44, <br /> �7C ) /j.77 STA(TEt4 It�}�'n /7 y�2D N1 <br /> CONTRACTOR PHONE:42 294-6944 CONTRACTOR EMAIL: k}i"ei /Tl�'/nmEIQN w' . corn <br /> CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT EIUS1NESS LIC.#(REQUIRED):0419 <br /> PRIMARY CONTACT: 0 OWNER 13:1 CONTRACTOR 0 OTHER(Please Specify) `_ • <br /> CONTACT NAME: CONTACT PHONE: 2' p6-'73 6-6541a <br /> t)eN 1415 6e a tni CONTACT EMAIL: D1NI I S.f' .Oki a ki 'vl/I T. mom <br /> AGREEMENT.T hereby certify that t have read and examined this application and know the same to be true and co,recL Ail provisions of laws and ordinances governing this <br /> type of work wine completed whether specified herein or not The granting of a permit doss not presume to give authority to violate or cancel the provisions of any other state or <br /> locellawregulating construction or the performance of construction. That i 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 18.27RCW and 288.20d WAC. <br /> City of Everett Official Use Only <br /> FEE/ <br /> 00 <br /> PERMIT# <br /> ,� �- ��8 -ig Q)027 ( f) <br /> R 1 <br /> Owner/Au or zed A•en Signature Date (Revised 10/1212015) <br />