3530 OAKES AVE 2019-02-12 - Laserfiche WebLink

kLECTRICAL PERMIT A$LICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov www.everettwa.gov/permits PROJECT-SITE INFORMATION PROJECT ADDRESS: 3530 d'3 BUILDING AREA(if residential, new construction,remodel,or addition) /9/0 SF BUILDING TYPE:'SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: rnl Heir\--h2 f) ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ /el 7/ Lov NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES tjeN0 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: rf\ (� CONTACT INFORMATION OWNER NAME: 1,)e1(\c\\L ( \ fy\. TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3----)--).„0 (ts, (:t.4 CITY I OSA STATE ZIP qRa)1 OWNER PHONE: 3) (90C1 '-pp--7 oa OWNER EMAIL:(iQS( ]PS-Earp dc\S-1c nei\} YahCO.CCr1 CONTRACTOR NAME: � ft(u \ i f,, �JS CONTRACTOR ADDRESS: STREET a333 colt) Ase. LOA q \G 1 CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: V.); 6'3 .Ccm CONTRACTOR LIC.#(REQUIRED): Pa)(C)5L 3 `i Pp ICITY OF EVERETT BUSINESS LIC.#(REQUIRED):IP� 3 PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: \t ) "1-7 3 — CONTACT EMAIL: ' A jr,+ �ICON 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# 41k _ _� • 1 -I E fl( \- •wner/Authorized Agent Signature Date (Revised 9/23/2016)