1700 HEWITT AVE 2019-02-06 - Laserfiche WebLink

LECTRICAL PERMIT UCAT O ---- 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 I www.everettwa.gov/permits PROJECT SIlTE INFCRMMiATIO ! PROJECT ADDRESS: 170 D Piety(74 Ave. BUILDING AREA(if residential, new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ' ELECTRICAL APPLICATION INFORMATION_ CONTRACT PRICE OF WORK:$ N/IQ' P-44 Pe ' 16(65:- I NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES ❑NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: QeloS4/1 new 5iah4 5ervrae G.Si A14- knoc 'dow i ..:.:.:: . . : • :.__.O .:.ACTS IMFORMATION =.. : . . . OWNER NAME: of Pitete,4 - TENANT NAME(If Commercial): a04- OWNER tf104-OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: ....,_., t►tf..�of�,yt'�'�VEr� YI..,•-�Cwy v-C.�..SkQ1')........ . . .. . .....�.,r .,. ._ �� .,........ ...�.•...,., ......,.�.,.....«.,._ CONTRACTOR ADDRESS: STREET (` V CITY STATE ZIP CONTRACTOR PHONE: tips"—52i- 0( y7 CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: i/`aS 3 2$- 0 6 417 Skew. Skwwr CONTACT EMAIL: s5"ciere evercifwa. 0I AGREEMENT:T hereby certify that I have read and examined this application and know the same to be true a correct. All provisions of lass 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 4.-ii5'. D--rb PERMIT# 9.14tit. 464f4 /0/. th Elq6(0-26—id Owner/Authorized Agent Signature Date (Revised 90/92/2095)