2810 FOREST VIEW DR 2019-02-06 - Laserfiche WebLink

LL CT ICAL PERMIT AOLICATION NIIIIIIII ->- CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 I FAX 425-257-8857 J (E)everetteps@everettwa.gov J www.everettwa.gov/permits PROJECT SITE INFORMATION p PROJECT ADDRESS: 2 2I 0 Fore S- . V i e w O r E v e r e e� , q Q 2 03 BUILDING AREA(if residential,new construction,remodel, or addition) SF BUILDING TYPE: .SFR-DETACHED 0 SFR ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ yoo NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES JPI NO ASSOCIATED BUILDING PERMIT#(if applicable):�1 . DESCRIPTION OF WORK: New' 4/C an i 6 CONTACT INFORMATION OWNER NAME: E r j C Row i v1� e((' TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CI 2810 Forest (/ e-, 0 r Gve r e✓ CRY STATE {A� 4 ZIP WV 6,9 OWNER PHONE: 6Y6- 39I 5622 2 OWNER EMAIL: CONTRACTOR NAME: Steel h eq Ft ec( ri c Ga- C CONTRACTOR ADDRESS: STREET 1552 6 26- PG IAJ, Grn»w o od s L,Y h r w o o 4 CITY STATE ti,.//g' ZIP g909 7 CONTRACTOR PHONE: q26-- 772-223S- CONTRACTOR EMAIL: n n 1 YL K O �'Y yl'YlI e. C Oj�J CONTRACTOR LIC.#(REQUIRED): ST FFG E L 852 Al 6 CITY OF EVERETT BUSINESS LI .#(REQUIRED): PRIMARY CONTACT:��DA OWNER v 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 6 y6.- 3 97.- 5-662 6r i c a go yvt j h � CONTACT EMAIL: AGREEMENT:T hereby certify that I hay re d 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 spe died 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! comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE ,f, /o -oz- 20fe PERMIT# go - old Owner/A,thorized Agent Signature Date (Revised 90/92/2095)