2124 HOYT AVE 2019-03-27 - Laserfiche WebLink

ILECTRCAL PERMIT APPLICATION 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 ADDRESS: J 2 4- d yr , ,L BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: CONTRACT PRICE OF WORK:$ a lO O•1". NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Co6 LC4,-ro Le _)//e../44 / RAI,t/ tz— / --AA 3 —S vi — t• £ ' (i3c(40% —002. _ . - �: : : :ON: A_v.i" 1I+IFOR.IVIATION=.�:;_ . OWNER NAME: 5Trukr C V ie—m•]e_ • T NANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET o2 f 02¢ 4 o r env V STATE 1'0 ZIP 9�V r✓/ OWNER PHONE: 'OWNER EMAIL: CONTRACTOR NAME: �/4)A/4-Canr- 6.Gee--RC1C - Al ' CONTRACTOR ADDRESS: STREET /!0+T7 K , 40I4168 S SSCTJATE &O/ - 4:7,0 FO CONTRACTOR PHONE: )O¢ '12,0-/93 CONTRACTOR EMAIL: `o ,'d ® pi 11/1s 1C 1,1c.• flc• 4 et CONTRACTOR LIC.#REQUIRED): d7*/ N CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 04-364ee PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: ,/ CONTACT PHONE: L— ?24-/9 ,/t 6/41 CONTACT EMAIL: AGREEMENT:T hereby certify that I have read and examineA this application and know the same to be true and correct All provisions oflaws 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/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 177E PERMIT# it Owner/• thorizedAg= tSi to Dat (Revised 10/12/2015)