4021 FRIDAY AVE 2019-02-06 - Laserfiche WebLink

LECCTRICCAL PERMIT °- --':rU CATI*.N ,f 7- CITY OF EVERETT PERMIT SERVICES - 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov 1 www.everettwa.gov/permits , . PROJECT SITE FFte ik010 a .r 4 PROJECT ADDRESS: +0 D'A \'(Z(, QA A v .. t► `'''(2- 'C C L BUILDING AREA(if residential,new construction,remodel, or addition) SF 'BUILDING TYPE: ❑SFR-DETACHED 0 SFR ATTACHED 0 DU'■ ■ M TI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ct 0 el C C—. /Dw '-1 ( ' /L Ml w 1 ELECTRICAL APPLICATION INFORI1IAtI iii CONTRACT PRICE OF WORK:$ 2C SP---L-A t_r c ov2 A tI/t-i l'`'N lD NUMBER OF DEVICES(if low voltage):, FIRE ALARM? RYES ❑NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: (,J1 -, ginN-•c o Bb ' T.L.) V2 ooh b ND T &../4 € A t-3D YvNo\-/ , StAILvl 6,L / ST • CONTACT;INFORMATION. .. OWNER NAME: 1) 42 y2_-l.C/ st—, TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srREEr 402- EY2-2t,D A/ A LA-0, CIN �,1E-12- -t'T ISTATE CATS ZIP OWNER PHONE: i-2-5 2-i C. a-to Le, . ,. OWNER EMAIL: CONTRACTOR NAME: i...C.-t\ ? t CONTRACTOR ADDRESS: sTREEr 7 OLi 3 V‘"( ' AVC', S- V c i L. . So 3 •--- CITY 71." STATE LID ZIP al : • CONTRACTOR PHONE: raOIY 5S t b 5'1"7"1 CONTRACTOR EMAIL: V---7111--( Cr YLOa-Q1.p E ' C-{c o , CAA - CONTRACTOR LIC.#(REQUIRED) hGLT'P�84-5 K- S CITY OF EVERETT BUSINESS LIC. ( a): • #REQUIR PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 4.,,D5 Dak c 03)...,(P , D �L(, CONTACT EMAIL: 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 lam 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 PERMIT\. CX) ' '.--- %orE ' "l,o Ot - 0 fhorizenfi Signature Date (Revised 10/12/2015)