Laserfiche WebLink
II <br /> ELECTRICAL PERMIT ,A LICATI <br /> - CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 j (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> - PROJECT SITE INFORMATION': <br /> PROJECT ADDRESS: rc9-6( G /vp /VtAiv4 503 <br /> BUILDING AREA(if residential,new const +►'; <- o.--,or addition) PPcNE L— SF . <br /> BUILDING TYPE: ❑SFR-DETACHEo NP, FR-ATT" ED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: XCOMMERCIAL <br /> USE OF BUILDING: C o N'n 0 <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$,5--s-e, " <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES .,..)00 <br /> ASSOCIATED BUILDING PERMIT#(if applicable): J . <br /> DESCRIPTION OF WORK: Hent/f ✓S,6 <br /> `, 6.Gro,_ � �8/t ' Al <br /> f <br /> AN E IL.. - sc iz 1/( C-©k)D()f r Lc" fu,s(r'i div(, -n-fieo()C'a <br /> CEA'r 6 Av c zA, C-- KNac..K c v'1 A)„vD /V' S ---1- 7 ' <br /> f v L_L64 t5 A C4 Avut)r✓ <br /> CONTACT INFORMATION :• <br /> OWNER NAME: G �/ofme LLC, g1,4/V Kviai/V TENANT NAME(If Commercial): <br /> 414 OWNER MAILING ADDRESS: STREET �-e 6.E:it' <br /> �n1 CrrY/11/1-1, �j4QEt f< STATE 4. Sp g��/Z <br /> OWNER PHONE: pL.Q 95,27a_ OWNER EMAIL: il(L4Wi gen Sep cAn,F®,rrw.C© <br /> CONTRACTOR NAME: 13 LA( S14667of ejaC LLC_ <br /> CONTRACTOR ADDRESS: STREET if 1 /k9i & <br /> 7 1 q �p s() PM1 3Y n <br /> CITY LY//✓n/ yam/® D STATE WA ZIPgA3 i , <br /> CONTRATR PCO#EE D�/ `3 9`-10 70 CONTRACTOR EMAIL: ' <br /> D .r' 'r / <br /> CONTRACTOR ( Q ) �LA�5 6 qc'L�-�C3 CITY OF EVERETT BUSINESS LIC #(REQUIRED)• ���lv <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR XOTHER(Please Specify) LC-Le(3fIz-/ci A2v Pc-it-76-- <br /> , <br /> CONTACT NAME: V CONTACT PHONE: Lt -/3,�/)(1,-/I7 4 <br /> Q !t' f�USG CONTACT EMAIL: ' ...0ern/A 6 6(5 p(17 6p44 c, 60Ntit. <br /> 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 <br /> 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 <br /> local law regulating construction or the performance of construction. That lam authorized by the owner of this properly to perform the work for which application is made and! <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> 4\tx).°P- <br /> . <br /> PERMIT# <br /> Wiii.i.”„ (77C...— E I t6 _ <br /> Owne '• t ized ••e Signa ure --ate (Revised 10/12/2015) <br />