224 109TH ST SE 2019-01-30 - Laserfiche WebLink

LLECTRICAL PERMIT A, ,J LICATI STh N . -. CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov www.everettwa.gov/permits PROJECT SITE INFORMATION. PROJECT ADDRESS: 7....22.1 10 74+1 S� BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE:ftSFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL . USE OF BUILDING::::::: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ .r)4d • NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES E:fJO ASSOCIATED BUILDING PERMIT#(if applicable): ! i DESCRIPTION OF WORK: Cc Jtrf q�3ov'q -tc -beelmem s Q' balk eine° ®vis;4e . ..... . Co:.: ... : NTACT:INFORMATION- .;' OWNER NAME: J/ yI CeA f• /Vac /)/j am 60 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2.. q j io q+ SE crrY ve f e4 STATE r LP LSE./? • OWNER PHONE: 2.06`g.-q—12 I© OWNER EMAIL: S t j/JY17 Co' .?/gip t.% COM CONTRACTOR NAME: IItokt 5 ( (J CONTRACTOR ADDRESS: STREET L g*/ ' card/ 6-ca CITY �—E it rG#f STATE 1l LP 9 7. / CONTRACTOR PHONE:4i )` 32 CONTRACTOR EMAIL: it,leer c..i)a lr 0(4114 CONTRACTOR LIC.#(REQUIRED): Uctre3 E 7KC) CITY OF EVERETT BUSINESS LIC.#(REQUIRED): tl(0 "/g PRIMARY CONTACT: I]OWNER I ON�� TRACTOR_-K❑OTHER(Please Specify)) CONTACT NAME: I CONTACT PHONE: C -31,r- �99�y CoCONTACT EMAIL: ��IIGIJ+ i+/l47 5-* 9-1 M/�l I IC.soirt AGREEMENT:T hereby certify that!have read and examined this application and know the same to be true and correct. All provisions of laws aid ordinances governing this 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 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 I comply with the State Contractors Law 98.27 RCW and 296.200 WAC City of Everett Official Use Only FEE • foo•- PERMIT # E l flg- /5g Owne horized Agent Signature Date (Revised 10/12/2015)