1914 HOYT AVE 2019-03-27 - Laserfiche WebLink

4ILTT ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 (E) everetteps@everettwa.gov j vvww.everettwa.govipermits PROJECT PROJECT ADDRESS: ofi+ - BUILDING AREA(if residential,new construction,remodel,or additio, q613 •F BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 UPLEX 0 MULT- ' ILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ c O D NUMBER OF DEVICES (if low voltage): FIRE ALARM? 04)fQS 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): PjaLti(tia.„,e.) DESCRIPTION OF WORK: A-II vu.A,k) s.tv ti t Ce) Vti-LO Cid} ) CONTACT INFORMATION OWNER NAME: Cat lie S4e-G4JTENANT NAME(If Commercial): oef OWNER MAILING ADDRESS: STREET I 9- Dirvicivi,ovt Aim CITY 110 rt.'', VI STATE ?IV- ZIP OWNER PHONE: 2.-D(t) c14) 671,040 OWNER EMAIL: ea life I Irto-hku.i o_ort4 CONTRACTOR NAME: LO i(Ltf CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ;EOWNER 0 CONTRACTOR 0 OTHER(Please Specify) • CONTACT NAME: CONTACT PHONE: 20 Le (4e0 q tet+D e qjlti,06-4/C1 CONTACT EMAIL: Q.0,—(14 e Liu ht-titi I env , AGREEMENT:Thereby certi8r thatIt'ave 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 WAC. City of Everett Official Use Only FEE (.03 PERMIT# A. E C(9 ( 2 .- 60 Lç Own- • t ori.‘•d Agent Signature ate (Revised 10/12/2015)