Laserfiche WebLink
0 0 <br /> ELECTRICAL PERMIT APPLICATION <br /> Ey CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: J X10`1 , 100" -UJLL f�V-L <br /> BUILDING AREA(if residential,new construction, remodel,or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL <br /> USE OF BUILDING: <br /> CTRI AL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 6 So - <br /> NUMBER OF DEVICES (if low v to e): <br /> FIRE ALARM? ❑YES PINO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: r ST L 6-A Tt! <br /> CONTACT INFORMATION <br /> OWNER NAME: G L.Wct l�lL y"►�p P,^/� 16 TENANT NAME(If Commercial): Same <br /> OWNER MAILING ADDRESS: STREET �7 `LOAC I4LLA>L ✓-i ll <br /> CITY C V�R,C-ff STATE ZIP <br /> OWNER PHONE: �f �' IlJ " Ca T /5- OWNER EMAIL: J L,S tl/►1,1W1. S CG.MC t. I <br /> CONTRACTOR NAME: Dahl Electric, Inc. <br /> CONTRACTOR ADDRESS: STREET 3409 McDougall Ave <br /> CIN Everett STATE WA z,, 98201 <br /> CONTRACTOR PHONE: 425-252-1700 CONTRACTOR EMAIL: dstevens@dahlelectric.Com <br /> CONTRACTOR LIC.#{REQUIRED): DAHLEE19260D CITY OF EVERETT BUSINESS LIC.#(RE UIRED): 037024 <br /> PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 360-661-0511 <br /> Dan Stevens CONTACT EMAIL: dstevens@dahlelectrlc.com <br /> AGREEMENT.I 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 <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 /> local law regulating construction or the performance of construction. That/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 /> 7, 10-17 E <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />