1810 HOLLOW DALE PL 2019-03-27 - Laserfiche WebLink

�-- ELECTRICAL PERMIT A_LICATION cl--7- CITY OF EVERETT PERMIT SERVICES -._________- 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 I (E) everetteps@everettwa.gov j www.everettwa.gov/permits . : .. _ .. .. :.:.Pl;:QJ.!C T WM II-NF 9ijA '11^-,li - ;:. _ ,:•:: - PROJECT ADDRESS: ) 10 140/16 Pale '1- BUILDING AREA(if residential,new construction,remodel,or addition) 17,0 0 SF BUILDING TYPE: 0 SFR-DETACHED n SFR ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: - 1;._ .:..:CLIECTI1CAL =,PfPLIIC or N HNFO0 4 A0354 ..: :,.. v•:: .:-.: ::. ..:...:.• :..:.: 5. CONTRACT PRICE OF WORK:$ I, So© , g c) • NUMBER OF DEVICES(if low voltage):. FIRE ALARM? El YES O ASSOCIATED BUILDING PERMIT#(if applicable): ; DESCRIPTION OF WORK: A-2(1,) 2-O63aw,, sit-1/i'C.f' 141 t oveuevi • - 4ff7V d ettv • 1 Z1q14.0yki2en ,.;=:, -00:400 7:g00.0#:14.4060..:-::'.: OWNER NAME: -/V e t c.A 9-.c."/C-2 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1 6,t 0 /to(J✓ pc(_(.P PL coy 1-, vyQr-rf-- STATE /A Z[P OWNER PHONE: OWNER EMAIL: II__ CONTRACTOR NAME: A-.cd /r tee 1-ri c Tex c CONTRACTOR ADDRESS: smear 1 y 19) )vi CL NPE 4AtiWO2 �s4c 311 �y` crrY 1`\J"�\zu.�, STATE ZIP /u C7 2/ CONTRACTOR PHONE: Cl 2-5 7 5 3 --)c3 cS CONTRACTOR EMAIL: (2..,y-;c.AA e ICC i-r'3c i✓‘c 0.C p r), f-- CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT:�' 'l�OWNER CONTRACTOR y s , l (]OTHER(Please Specify) _T~_,>_,r.r,�.,,,,w.,._z_-_�..._.,.-_,.Y.,t-.=_.��.._,.-�._�__..s.�.v,_... _ _�. CONTACT NAME: CONTACT PHONE: 1j 2 5 . 75-3 --/q g g � . °��'e 1CS� v Yo 10S tJ0,1,...‘ CONTACT EMAIL:. _ u.r-r cif e CGct-r-,c 1,1 c-610,_ Li AA... ro . C a v.,. 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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAG City of Everett Official Use Only I FEE D l 401;11.f- PERMIT# A 1 1a47 E1112- \qq Owner/AuthorizMr-nt Signature Date (Revised 10/12/2015)