2817 LEONARD DR 2019-03-28 - Laserfiche WebLink

4/r ELECTRICAL 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 www.everettwa.gov/permits ,....:........ ...:::::.:....-..::.,::.:...::.:.::::..:. ... .... ... ..::.:.::".: .ROJECT,:SITE.INFORMATION:::;::::;;>:::::::;::.:,..:....,:::,.:::::::_: ::.::::::: ::;::::.:;:.::;::::.::.....:.:::... PROJECT ADDRESS:i•$ l Q,OY1 ( pfuse BUILDING AREA(if residential,new construction,remodel,or addition) I SF BUILDING TYPEFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: RA51 cion49j EL CTR C'EI A L APL CAT IONINFORMA INFORMATION CONTRACT PRICE OF WORK:$ 5(2,op NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: No (ma y-c,j i {l(TT . :CONTACT INFORMATION ::� ,.. ... .... OWNER NAME: 'Ron eriel x, TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREEr az I'2 1)n fl fLro 1\S-p CfY Pere STATE 11/VA ZIP g R a o 1 OWNER PHONE:alO_2,30 i 3(0 OWNER EMAIL: CONTRACTOR NAME: G n CONTRACTOR ADDRESS: STREET ;LA 00( OrPrf ylet P VG CITY E,i" Viol A- STATE ZIP i RAO C CONTRACTOR PHONE: 4� �kplQ-1.1 f ,-C�O'NTRACTOR EMAIL: 5jQ r0,(l�s h Q(,)4-� CONTRACTOR LIC.#(REQUIRED):(-,SI4T{�S 9 Ic,1j CITY OF EVERETT BUSINESS LIC.#(REQUIRED): (3 F q tagc PRIMARY CONTACT: 0 OWNER ,,. 'I CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: )4,24c...(DW -(,td gs-7 5( fl J 1 at,e) CONTACT EMAIL: ./1 fiVaSr1 hQir C.OM AGREEMENT:f hereby certify that l have read and examined this application and know the same to be true and rect. Ali provistoni 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 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# AcAA. 147-izNI-N.c4 -l9 E %off — 09 g- OwnerlAuthorized Agent Signature Date -(Revised 9/23/2016)