Laserfiche WebLink
477- ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: y5I (o CO` ‘Ok Aq e) <br /> BUILDING AREA(if residential,new construction,remo ,or addition) • SF <br /> BUILDING TYPE:*SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: . es 1 Ceetiet,,e - <br /> ELECTRICAL APPLICATION1NFORMATION, . <br /> CONTRACT PRICE OF WORK: $ 44000 d� <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES XO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): 4 <br /> DESCRIPTION OF WORK: r et�c7 l rt; C ilirci rY'IS - 2 oo i lct ' 3 .Ctu-, c <br /> Il911i-' • 20 p Lu c r nrCC <br /> CONTACT INFORMATION <br /> OWNER NAME:0 WC. 1 nthX OO TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET `151L0 Cc 1 Mott Aye, <br /> CITY ?,vecei-lt- STATE r V A. _ ZIP <br /> c.52t7?) <br /> OWNER PHONE: 1'f25-233- I CeCoS OWNER EMAIL:3V Iia. • 0 n°Le r‘3 0r&arnea& fel <br /> CONTRACTOR NAME: SeQTt.l xl i G Core• <br /> CONTRACTOR ADDRESS: STREET ill( \ 1 3 ('0 a cat/ A <br /> CITY Vhf' fff STATE A ZIP / (62,O -I <br /> p� " <br /> CONTRACTOR PHONE:20(,- 90S-3, /o CONTRACTOR EMAIL:ma Ka ti &of alj(\d,,G ;U <br /> CONTRACTOR LIC.#(REQUIRED): RT ) fCj V %'R CITY OF EVERE BU NESS LIC.#(REQUIRED)`J39 I(Q <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: <br /> Mct' j R ev CONTACT EMAIL: <br /> AGREEMENT.I by 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 type <br /> of work will be co pleted 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 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 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> `'i' PERMIT# <br /> 441' 21/ 20100 E �. ��S . <br /> Owne Authorize.gent Signature 'ate (Revised 9/23/2016) <br />