6603 HIGHLAND DR 2019-03-27 - Laserfiche WebLink

10/24/2016 16:31 3604740126 DONNELSON ELECTRIC, TNC #3727 P. 003 /003 ELECTRICAL PERMIT APPLICATION 110111,11411114W.. CITY OF EVERETT PERMIT SERVICES �� 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 (E)everetteps@everettwa.gov E www.everettwa.gov/permits ! 1 J h , V mM PROJECT ADDRESS: 66/£?3 H3-1 D ft ere-oz-r7-1- i+rA- BUILDING AREA(if residential, new construction, remodel,or addition) SF • BUILDING TYPE: V-SFR-DETACHED ❑ SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: o ,e CONTRACT PRICE OF WORK;$ 7Tho°° NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES el NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: /1/e j,/ No LA 5-f OWNER NAME: P4(n/ 13cA,$7CL—cl TENANT NAME(If Commercial): _ + OWNER MAILING ADDRESS: STREETPO //��..Bog l 2 '-/3 CITY /i yy� , `a kdf STATE Wegj yiP 9/e70 OWNER PHONE: Car--1774-6 SS t y- OWNER EMAIL: �\ CONTRACTOR.NAME: CIO son e 1 �r�•� CONTRACTOR ADDRESS: STREET 13�j /., &&Kmi C Ave /l CITY 4r Io'irk s !.fo.. STATE 1,-.1117 na Q 1dp 7Z� CONTRACTOR PHONE; CONTRACTOR EMAIL;Qos AP/Srin-p/e cl-,z e riratfr+v-.c o.- CONTRACTOR LIC-#(REQUIRED):OQsinoe•O tNl PZ CITY OF EVERETT BUSINESS LIC.#(REQUIRED):03/ 1737 PRIMARY CONTACT: 0 OWNER aCONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: C/zs?. ' '17C1 Co/ reTi / e — CONTACT EMAIL:DQ___ .- aI�G •'C A FrOAt 2/;C Ori. AGREEMENT:I 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 properly to petiorm the work for which application is made and I comply with the Stale Contractors Law 18.27 RC'N and 296.200 WAC. City Of Everett Official Use Only 41111011r PERMIT# toizs-d! E \L ( n — L`tl- ovinerlAutherizad Agent Signature Date (Revised 9/23/2016)