2818 GRAND AVE 2019-03-22 - Laserfiche WebLink

/111P1*""...;.:4- LECTRICAL 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:,Z f f F"' A aiof j BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX MULTI-FAMILY-4 OF UNITS: 0 COMMERCIAL USE OF BUILDING: .?0,41/41 S ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 7://k1 '�J^ BOa, i NUMBER OF DEVICES(if low voltage):, v' FIRE ALARM? 0 YES 0 NO a ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: /VI 3 `j, /(p- " 'x.�'UOes if) 3 7‘0,141.4 s • . CONTACT INFORMATION OWNER NAME:2/4:4 444,H)9044 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET ozpie ,`[fIJD/,1 e.,- ,B -6.61 Q CrIY �"� jdl�/; STATE I''JZIP q 420 OWNER PHONE: //2,57 3,5-12. Q3 ye OWNER EMAIL:1w mid � /G L,d • e„H, CONTRACTOR NAME: S F/ec 1 G 2,C, , CONTRACTOR ADDRESS: STREET P22 PO fJ,Gr' Place_ co LA 5�'�'1 CITY ),�f /e-, STATE Wii) ZIP 9cl5/5".1 CONTRACTOR PHONE:,2 32 f,ez 0%0 CONTRACTOR EMAIL:cAl e�jnc s-goa 'Pll - •Co,i4 CONTRACTORLIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED):6 3 0 2Os" PRIMARY CONTACT:' 0 OWNER ji4 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:.206 79 9. �� O) `� `� �� t uh-e Zuiit i*' CONTACT EMAIL: e$v�.,� le OPs.0a274'1, • Cowi 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 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 t 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 415 0. PERMIT* 4.444/41.41.,"..- 3-7 e:AF E 1(60 @ — 6(4 Owner/Authorized Agent Signature Date (Revised 10/12/2015)