Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> 14441°!/".-4 - CITY OF EVERETT PERMIT SERVICES <br /> `�iq.r 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov( www.everettwa.gov/permits <br /> •• : : ';:_.:` '.1PRtOJ• E'ct SItE INFORMATION <br /> PROJECT ADDRESS: 3003 AS WEST 4 vJo RDAD el/v,.it W, `82.• • ym ;` ,• '' ' 't t <br /> BUILDING AREA(If residential,new construction,remodel,or addition) N/A. SF ,�/ <br /> BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: �LOMMERCIAL <br /> USE OF BUILDING: MA•t.IUFACTUta-114 <br /> . ..•,,,., ,'. ••':':-`.010T,RICAL APPLI0ATIOIi1.1-I00RMAt10N <br /> CONTRACT PRICE OF WORK -..,o <br /> NUMBER OF DEVICES(if low voltage): N/A <br /> FIRE ALARM? 0 YES r,O'NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): NIA <br /> DESCRIPTION OF WORK: TemPeneARy acri)S77Wer1014 ASWEEI 131eA-.LCN GR.CUIT MGiAIFICAT1014/ <br /> -k riA i (Nt vFo&-o-Ale)R.Ep4EC6MexYr FIJI26fSNM <br /> DEY(CE(owJE-rox-ode)REPf.Adift.W,Lr . lntsrALL- GFa, <br /> 413.#32.4310 <br /> E: ' " • :. .1dONTACT yIJFORMATION • • <br /> OWNER NAME: Bcreynt^r TENANT NAME(If Commercial): geremiG <br /> OWNER MAILING ADDRESS: STREET ft 6.og 3707 <br /> WY %SO-i4TTIE STATE WA ZIP 98/2.1.2747 <br /> OWNER PHONE:. /2 .s54i. OWNER EMAIL: IJJA <br /> CONTRACTOR NAME: -epUDy,A•.t EZEEa-7 Jt. LLC <br /> CONTRACTOR ADDRESS: STREET x/5/35 Ale 92./VD S7?255T <br /> CRY 1PE'AMG7JZl STATE WA ZIP 91505.2• <br /> CONTRACTOR PHONE: ¢2„5, 6/4. &CO CONTRACTOR EMAIL: 1 'N.Lelgttger Cv se yjc L,.cm <br /> CONTRACTOR LIC.1/(REQUIRED): s�QvoEL.97759 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): '�D(o <br /> PRIMARY CONTACT: 0 OWNER ifirCONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425j,2`t�. 45 <br /> _JIM Atsbt<IzSOt.1,G -RAL Fc 2Et4Ahi. CONTACT EMAIL: J t Yvt•Andel-so r e .9U cet.lei• 0-aryl <br /> AGREEMENT:I hereby codify 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 type <br /> of work will be completed whether specified herein or not. The granting chi permit does not presume to give authority to violate orcancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That lam authorked by the owner of this propertyto perform the work for which application is made and! <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAG. <br /> City of Everett Official Use Only <br /> PERMIT# / <br /> GARY AB LER 63. •/e E IR 0c <br /> —,e5C0 4 <br /> Owner/Authorized Agent Signaturer Date (Revised 9/23/2016) <br />