3328 FEDERAL AVE 2019-02-06 - Laserfiche WebLink

04e/7 ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P) 425-257-8810 [ FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits 7T- O,'11 a iNieH �� ni rpt dNi }° ,.. � lE : �a� 7 ° h moqinI !k$ Z.-ter - ,0d10qJ p jr' xr* 9 —. r� y ,�IA�? g_ie-., i �LwAir-a �I CIN, , ES �WI �i - 4,,a d �7- . k7 �(ui �ii tT _. ��}dI ;ad8hliIkor Ua: r. - PROJECT ADDRESS: �j5(� � 4 ei �i�7 BUILDING AREA(if residential,new construction,remodel,or addition) O L SF BUILDING TYPE:// s SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: H ELECTRICAL APPLtCAT1 N INFORMATION 's CONTRACT PRICE OF WORK: $ (o 0 0 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Q r>,r>,J r I o ,A- ''6� kt /9LiL 'v /0 ,o A � J5f.- ut t lr -0 uvt ,, 1. . . < , nt '. i�ty, �_i { h "�+� '4 TNF tzM T �n M ..r ,, OWNER NAME: j Dry J LA J,re ', TENANT NAME(If Commercial): .� J OWNER MAILING ADDRESS. STREET V �/ ' �'v�v CITY /e 4/ri STATE IN C' ZIP &2 t/ 1 OWNER PHONE:�w q ) — ,�" OWNER EMAIL: Y 1 (01 CONTRACTOR NAME: rj LIU P7tt/I /L ��–1-l�l/ th (A& p..„ 4`2.. CONTRACTOR ADDRESS: STREET 1 \ t. Le 2 .. `(. 10 V `, — CITY1\-kAAANAlf&V--t.�----R)•' Y r"-.CJ2. STATE ZIP " +3 CONTRACTOR PHONE: ` l l U1? CONTRACTOR EMAIL: h� c LUWA- - �/l'6Jv '�wN--1 CONTRACTOR LIC.#(REQUIRED) LkA r.' 31 \ CITY OF EVER TT BUSINESS LIC.#(REQUIRED)bc2+9 0 PRIMARY CONTACT: 0 OWNER ,CONTRACTOR 0 OTHER(Please Specify) CITA,CT; NA E: '�^ CONTACT PHONE: -7,--1C'V a -t \j��. - U o ` I CONTACT EMAIL: 1Nt –` AGREEMENT*T hereby 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 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 I 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 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE —616 e PERMIT# 01 (mo ) 1 '&.' l 1 E (S. 10 - i C Owner/Author' gent Sign - Date (Revised 10/12/2015)