Laserfiche WebLink
ililitliv"—PLL,,::-.4, <br /> It'ECTRICAL PERMIT APPL!ATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> 13 <br /> PROJECT ADDRESS: s. 4 L. •As,.e ► er <br /> BUILDING AREA(if rrstdentiai,new construction,remodel,or addition) sr <br /> BUILDING TYPE: in SFR-DETACHED ❑SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL <br /> USE OF BUILDING: <br /> CONTRACT PRICE OF WORK: $ C7 ,o0 <br /> NUMBER OF DEVICES if low vottaoe <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT# if°apIicable r <br /> . e 3 J . <br /> iECtI ...CII 1J Rf . ,i S- r.. • ,IP' <br /> • <br /> a <br /> .. .. .g e _ f.E 0 A y.S g. B ' e fir.. 3... ,., _ .. <br /> _ tilt I ,�. ° TENANT NAME If C-,tit• <br /> OWNER NAME: �1. 0. .....4 �, <br /> Comm t <br /> OWNER MAILING ADDRESS: si ssr <br /> CrtY0 STATE <br /> OWNER PHONE: ;s e c90; 3 <br /> OWNER EMAIL: <br /> CONTRACTOR NAME: 1♦ , `$ <br /> CONTRACTOR ADDRESS: sTQEeT 1(415 13(0 Cltd <br /> CITY STATE \A joAr ZIP q8 20•I <br /> CONTRACTOR PHONE: LIQS OC:""--4) CONTRACTOR EMAIL: <br /> —*CONTRACTOR LIC.4(3~;t:fi�UlRtj {� �f '��� ��s 4� '�` � r r6 YN <br /> PRIMARY CONTACT: ❑OWNER CONTR �� � _. iC{'P`�t�F EVI�,RE'I"I'BUSINESS CIC�#��CUIf�Ep) <br /> R 0 OTHER(Please Specify) <br /> CONTACT NAME: <br /> CONTACT PHONE: <br /> I 0, 0 *f CONTACT EMAIL 0'_`. . 1 I .02;n <br /> AGREEMENT:.I hereby certify thet f have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type <br /> 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 <br /> focal law regulating construction or the performance ei construction. That 1 am authorized by the owner of this property to perform the work for which application is made and! <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> � . _ - ( <br /> l ( <br /> OwnerlAatheriztad'Agent Signature <br /> Date ,(Revised 9/23/2016) <br />