1467 MADRONA AVE 2019-02-11 - Laserfiche WebLink

ELECTRICAL PERMIT Aliiii.ICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.govwww.everettwa.gov/permits PROJECT SITE INFORMATION' PROJECT ADDRESS: /I L/(„ /kvd n et. Ave. Eveve.1 "/ i c>}4 BUILDING AREA(if residential,new construction,remodel, or addition) Ile.-44-424-4 SF 'moo BUILDING TYPE: J21 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX ❑MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: • , _ ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ S"p NUMBER OF DEVICES(if low voltage):• FIRE ALARM? 0 YES !AO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Low�r k j�-c L 2 v t j J P4,4_11— GO'S 5' i'`DLJ ion ma irld. s;� d, AG/4 CD (.€ CA r; ... .. . . .... CONTACT INFORMATION OWNER NAME: 4n i]g n be_V ' TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET I�6,7 ft:fe,t%ohQ ,q-U.e.- } CITY F,/e-eQ STATE /I)ZIP 2�/ O J P O E: o yvi 4o?S--270 77 Sy OWNER EMAIL: ✓1 /g- CONTRACTOR NAME: .Sc'teG1Y;c_. CONTRACTOR ADDRESS: STREET '(0 2001L ,S•T nE CITY Ay( 'ny-1 V-1 STATE 14/94 ZIP 7$2 2-3 CONTRACTOR PHONE:300, 6,3c9.794f/ ✓/ ' CONTRACTOR EMAIL: Se-tree-4-1.41 Le - �i cb- G• C CONTRACTOR LIC.#(REQUIRED): So/e C/ 8 92- 172- CITY OF EVERETT BUSINESS LIC.#(REQUIRED): $(p S 1J 2 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR OTHER(Please Specify) /jyam_'/2SK-?�_TJ i77Sy CONTACT NAME: L.�^� / CONTACT PHONE: ; c-,2 2 0 r j I (1,1t.I` / CONTACT EMAIL: h /f1- AGREEMENT.'T hereby certify that I have read and examined this application and know the same to be true and correct. All provisions oflaws 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 l 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 RC W and 296.200 WAC. City of Everett Official Use Only FEE 00 OD PERMIT# ite—ff E (VY-f- 0 75 Owner/Authorized Agent Signet re Date (Revised 10/1212015)