4802 GLENWOOD AVE 2019-03-21 - Laserfiche WebLink

'v .f EECTICAL PERMIT ArStICATION CITY OF EVERETT PERMIT SERVICES --. 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.govwww.everettwa.gov/permits • • 01/0 4k61.SITE INFO JMitiN> .. . PROJECT ADDRESS: '7' ©2 � 7�Yi Cj/� C 2/•e �%�'— Z` 96P 2/.7_g BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 'g SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX ❑MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ,j[p fj] L / ///r/f-i/ ELECTRICAL APPLICATION IMC°®I�NIA`TION CONTRACT PRICE OF WORK:$ Z-62-62 NUMBER OF DEVICES(if low voltage):• FIRE ALARM? ❑YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): • DESCRIPTION OF WORK: frL,pCIL-,g� )) .e;? c( /d e 77 -L 1? /De s - , doiteAdt ..: � OWNER NAME: V/ 'L% , / 44 Alit VONANT NAME(If Commercial): OWNER MAILING ADDRESS: sTR r, $/_ � y e i t 4 CITY STATE 144 ZIP 9 O G D3 OWNER PHONE: 2 OWNER EMAIL: f RD/VS'f�:�,(( GV ivjGt/Z. C0-01i/ CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: AGREEMENT:T 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 wi/l 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 FEE PERMIT# /O/z_ /c7p, I 6 - ��Z Owner/Authorized Agent Signature Date (Revised 10/12/2015)