3329 GRAND AVE 2019-03-22 - Laserfiche WebLink

LLECTRICAL PERMIT AFt LICATION 0.000"...A... ,- - 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 INFORMATI®N- PROJECT ADDRESS: 5'3,29 /Vig iziN€ BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: 9,1 i '_ {S'- A-L. ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ NUMBER OF DEVICES(if low voltage):• FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Re Ii 1 4iM `.-- A'rn ca K-1)-n_A ®'JT'- 1S S \2 Z-=.s A_c_ ,-r'V e G ATS•fat,In c:5 07-ts _ CONTACT INFORMATION OWNER NAME: ---cf -C.c... (3I c r4 LL_ TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 5-s25 3 --�� k (40i fiNi cm G\)Ga- lyr STATE4,..)..._,A ZIP ,i370 1 OWNER PHONE: nom_,, -CO�55 OWNER EMAIL: ., CONTRACTOR NAME: KY►YVS I E L CD -6Z-1-61 CAL CONTRACTOR ADDRESS: STREET e 0 i <£,k CITY G:\1*Y 'T T STATE LA/- ZIP CONTRACTOR PHONE: L+2,5"4--- )S5 -2. ,ilCONTRACTOR EMAIL: ' CONTRACTOR LIC.#(REQUIRED): veteL Cj--CITY OF EVERETT BUSINESS LIC.#(REQUIRED))4.10 r PRIMARY CONTACT: ❑OWNER CONTRACTOR 0 OTHER(Please Specify) "x.._�'•..,._ _ CONTACT NAME: CONTACT PHONE: 2,�75-9--aaLS-7 is j- j F-P-A- / 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 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! comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE 6 44 (oo, PERMIT# 0...Z-<:_____" ----- `3/, A ,7 E 1.017) , ob 1 Owner/Autt}orized Agent Signature Date (Revised 90/92/2095)