Laserfiche WebLink
04/25/2006 05:21 2532882156 GARNER ELECTRIC PAGE 04/16 <br /> — `.:.•_.,m ELECTRICAL PERT APPLICATION <br /> (,4A.,<-7) <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettvva.gov www.everettwagov/permits <br /> PROJECT ADDRESS: <br /> BUILDING AREA(If residential, new construction,remodel, or addition) SF <br /> BUILDING TYPE: 1X.SFR-DETACHED ❑SFR-ATTACHED D DUPLEX MULTI-FAMILY-f1 OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> CONTRACT PRICE OF WORK:$ P2.160 . 00 <br /> NUMBER OF DEVIICES (if Iow voltage); _ <br /> FIRE ALARIIIJ? 0 YES 1KI.NO <br /> 'ASSOCIATED PERMIT#cif applicable): V <br /> DESCRIPTION ION OF WORK: <br /> 1 ' <br /> • <br /> C,1NTACT'IfR1VfAT10N <br /> OWNER NAME: 1,)1 TENANT NAME(If Commercial): <br /> OWNER MAIMING ADDRE S: STREET B �y�L! -•F '� ���'� s' � ° <br /> CITY e.v ve_v STATE �I�I Plr YIP <br /> OWNED PHONE: `� j OWNER EMAIL: <br /> CONTRACTOR <br /> CONTRACTOR ADDRESS: STREET J(x Q V A loL <br /> CITY 0,101 Ulf) STATE\,"\i zip <br /> CONTRACTOR PHONE: 'r2 3•w CONTRACTOR MAIL 7(s YlQ o <br /> CONTRACTOR LIC,#!(I EQUIRI_D): Qi4 RAJ E J � CITY OF EVERETT2C� <br /> .....,...,..w,,x....- . . . 1 ' Bust _ �/.'/��/ <br /> ........._....,........yn.�fi�...,...�....�...........,..JfA611fA'FwFF1.....-.................��...�..�m..x. .x.,....nnr..n� .r.Y,"l'^'� <br /> N>=Ss LIC.�(�Eaut>�EDy. �I <br /> PRIMARY CONTACT; 0 OWNER .7LCONTRACTOR 0 OTHER(Please Specify)T <br /> CONTACT NAME: CONTACT PHONE: $60._ -..2,3113 <br /> hienVe_le ,CONTACT EMAIL: e-vleiforde. 04 E.um.•C'DYv't <br /> AGREEMEEN7`1'hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this <br /> typo 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 <br /> 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 <br /> comply With the State Contractors Law 18.27 ROW and 298200 WAC. <br /> City of Everett Official Use.Only <br /> FEE <br /> S -0 <br /> PERMIT <br /> . ) _ , E Vs09 <br /> Owner/Authorized Agent Sig atu re Dato (!Revised 10/92/2015) <br />