2216 W MUKILTEO BLVD 2019-02-12 - Laserfiche WebLink

J ELECTRICAL PERMIT APPLICATION - CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov f www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDREss: Z 0)0 i 1 leo "Siva . ,• Wfr q6203 BUILDING AREA(if residential,new construction,remodel,or addition)_. SF BUILDING TYPE: 0 SFR-DETACHED `L FR-ATTACHED :0 DUPLEX 0,MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: r ELECTRICAL.APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ rvact eutdii4ion Scope 0-f- 9 t' ID NUMBER OF DEVICES(if.low vol ta'Ce): FIRE ALARM? 0 YES 1ll ,N0 ori `1 t a$ o �R ASSOCIATED BUILDING PERMIT#(if applicable): L w 00 DESCRIPTION OF WORK: 1i CONTACT INFORMATION OWNER NAME: ca E' Tata C �-� TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 22-.E 141A-Let ,j cITY e'Ve4sratE i 2.43 OWNER PHONE: ) -- 317'3 'OWNER EMAIL.: ZIP ` " CONTRACTOR NAME: L h4-•S ee ohi i., �- -,.se a m�1411 CONTRACTOR ADDRESS: STREET (R CO 4 el "` r.)- 2,1r64ileir ! P B ..yam Z CI Y E I '1 !.+ *r'" P"" lSTATE N .fl`�-(d a✓ti•7ZIP 9`C3 0 �,Q/� 3.3 CONTRACTOR PHONE: )CONTRACTOR EMAIL. CONTRACTOR UC #>`(REQltIRt=D): �j I ICITY OF EVERETT BUSINESS LIC.#(REQUIRED): ✓ �� PRIMARY CONTACT: OW HER 0 CONTRACTOR CI OTHER(Please Specify) CONTACT NAME: ' 1 1 CONTACT PHONE: L. `: eZtrk Srnriln CONTACT EMAIIL: $ X:041 eiec.fif.GI Ie AGREEMENT't hereby certify that l 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 canoe/the provisions of any other state or local taw regulating construction or the performance of construction. That I am authorized by the owner afdhis property to perform the work for which application is made and: comply with the State Contractors Law 18.27 RGW and 296.200 WAG. t4 ab1/4114, h t-45 ,0 i City of Everett Official U Only 9. PERMIT##• 4111111r Alli 4i0r t/ itif, I 60 ioNS 1 ow iq•"o, .;• nature Date (Revised 9/2 312 0 1 6)