3507 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: 2) (f--7 OOI -e S V 2 -VeVe i wA 6 201 BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: 0 SFR-DETACHED -I 'SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: sf II.V V10 J ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ lQ(,Q 0 D NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES 1§NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: il,")`,'141,101,/1 i ljl��l�,ll9) DO V1`eI CA/1 a V1 q q i ViP/w 7___O rvi v) C/1 i' (t (poiN cue wale n 0/011-Cj CONTACT INFORMATION OWNER NAME: J A(V 2Qs l 0(-0146,-f' TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREETGf0---7 (m pe S ` 2).2-0 � �7 r CITY niCn,V"C/�1 STATE WA ZIP 61`U 2-0 OWNER PHONE: ' i/fy'%-it'•9 If/ N/A OWNER EMAIL: Al/,q CONTRACTOR NAME: /Vt. t/C(/(5 -leif 7-- CONTRACTORADDRESS: STREET( o //71r/l'f�//fD`�� Se (� /' CITY F___A / 6 crt • �/✓ `" STATE M/4 ZIP �0 7J CONTRACTOR PHONE: 42- 77e 0.3 Zvi CONTRACTOR EMAIL: /ki ope fr-VJ/I) 1 s c^ �{/I/J GL( I• (-19 (/h CONTRACTOR LIC.#(REQUIRED): I,VUQU US102 OC----7 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):02---P71/‘e PRIMARY CONTACT: 0 OWNER 'CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: -/--/Z t9.0 e.). 7c77c �� CONTACT EMAIL: /hepe`14)r-S-6q.Mij(,i1. 1.19-14-7 AGREEMENT:I hereby certify that 1 have read and examined this application and know the same to be Nue and correct. All probfsions 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# _ "\. ilz(///g Ei D1 -1q � Owner/Aut orized Agent Signatur� Date`\ (Revised 9/23/2016)