3409 NASSAU ST 2019-02-12 - Laserfiche WebLink

ECTRICAL PERMIT APICATI N 1111 CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 3110? NQSSU 5/- // BUILDING AREA(if residential,new construction,remodel,or addition) etAvoce/ SF BUILDING TYPE: 0 SFR-DETACHED 'SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: j3it5Grwre,, ELECTRICAL APPLICATION INFORMATION, CONTRACT PRICE OF WORK:$ deo NUMBER OF DEVICES(if low voltage): 32. plc 1/0/1,. devices FIRE ALARM? 0 YES tir NO ASSOCIATED BUILDING PERMIT#(if applicable): 4//4 DESCRIPTION OF WORK: &Setwtr„Y r/eI41OA/ / CONTACT INFORMATION OWNER NAME: /q/l ie e,-/5 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3 y0 9 /Ye SSv s f A CITY .4 r /41' STATE W - ZIP 96z o/ OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: C rG.,E LEG nL CONTRACTOR ADDRESS: STREET ff/7619/4'7 $E /2/Sf CITY g / o,//V✓t STATE I,/4 ZIP ?70S-7 CONTRACTOR PHONE: y,2S-3p6 yr-7s- CONTRACTOR EMAIL: c d c - e-/e c/rr t, co CONTRACTOR LIC.#(REQUIRED): C.¢S fL E*922 Qd1 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: /-/,lr jp6- CONTACT EMAIL: ale c ./-C - e I/e c.47 • Com 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 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 PERMIT# 3-7 17 EoC3 Owner/Authoriz Agent Signature Date (Revised 9/23/2016)