1601 OAKES AVE 2019-02-12 - Laserfiche WebLink

4rEn". ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: I ((O` OAK r5 J�/ BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: 125 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: (les;aIe,hGQ- LECTRIAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 7 7O NUMBER OF DEVICES (if low vol ge): / FIRE ALARM? ❑YES NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: YC y\e \ Cel\c.Gev v' V, S `c."e\ 4 e e4 4-c) C��t✓, �_��r C.�nC�.�rc,:v\�c Com:mac_v.1r) • CONTACT INFORMATION OWNER NAME: t4 ! , �,,,t ri�e,r - TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET /G 0(err �/-)-k&S Aub- CITY U F CITY Ex/50 1 STATE W j ZIP Qs 2 01 OWNER PHONE: q ZS 1 416 OS-09' OWNER EMAIL: U(�w,be,r;- (9g- Q.LOC) C-0„v\ CONTRACTOR NAME: 5 k�\\ E I eC�r;Cl CONTRACTOR ADDRESS: STREET 722.6o/ < /3 9i4I" Alae, /(/L CITY L Ct,/( 5V t V 'VA.)) ZIP Pez s-s- CONTRACTOR PHONE: 9. S Zy9 5151 CONTRACTOR EMAIL: S�ry cc__ (0 rny gw \e‘ .covv- CONTRACTOR LIC.#(REQUIRED):5w i 9/b p(< CITY OF EVERETT BUSINESS LIC.#(REQUIRED): / c,---247c7 PRIMARY CONTACT: 0 OWNER El CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: Has- 2J) cct I j 7i/f ec C1�PiZP�iZ CONTACT EMAIL: '7 /e4r. v, � b-, AGREEMENT::I hereby certify that I have read and examined this application and know the same to lee 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# 7-Z_4^/7E q02- •wne/Author -d Agent Signature Date (Revised 9/23/2016)