2224 OAKES AVE B 2019-02-12 - Laserfiche WebLink

grr ELECTRICAL PERMIT APPLICATION 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 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 22.24 - o&i B s t vse, it 9C-s"ZO I BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED ID DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 5nr, NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES RNO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Vl Silkk ( I(.c t^.- .PSS ru CONTACT CT INFORMATION OWNER NAME: / (ct c-i-on TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 222`1 (')a kos Ar CITY k--re- t STATE A ZIP R g2 O i OWNER PHONE: 2.0G- 35(o—02.52 OWNER EMAIL: N1} CONTRACTOR NAME: EAp r ( n J Tp*e. Sr kQP+ I nV .o-t- . CONTRACTOR ADDRESS: STREET 2 '2O 1(2GLC -F- 'c_ \ /� �t Cnv � 12Z �fSTATE v ZIP CigZQ , CONTRACTOR PHONE: _1ZS-252--3J� L( C /�d CONTRACTOR f�EMAIL: kQi0 essmt�)a . CCDM CONTRACTOR LIC.#(REQUIRED): eVegs l 551 23 RN CITY OF EVERETT BUSINESS LIC.#(REQUIRED):00.7 ct PRIMARY CONTACT: 0 OWNER )$-CONTRACTOR 0 OTHER(Please Specify) CON,TpcCT NAME: CONTACT PHONE: LJ SS so$ 07 2-2 1n S ll C> CONTACT EMAIL: e essvyt tact.Lo N^--1 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 lam authorized by the owner of this property to perform the work for which application is made and comply with the State Contractors Law 18.27 RCW and 298.200 WAC. City of Everett Official Use Only PERMIT# ✓L 1/0r El1d- Owner/Aur hefted Agent Signatur Date (Revised 9/23/2016) 3