1117 MAPLE ST 2019-03-28 - Laserfiche WebLink

aECTRilCAL PERMIT A JCATIION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 (E) everetteps@everettwa:gov I www.everettwa.gov/permits PROJECT Ml"E INF o I•iATiiON' PROJECT ADDRESS: /// 7 BUILDING.AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED ISFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL LUSE OF BUILDING: ELE.TRQC:AL,APPLICATION IPNFQRl(MLATT®N '. CONTRACT PRiCE OF WORK:$ 3, O O O "" NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES ,�NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: x. re_ 14,14c,l-.ems f`e� ® ACT:INFORMATION:.`• . OWNER NAME: Lc ( Let/kr,) TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: 425-577-- 972g OWNER EMAIL: CONTRACTOR NAME: L t( eef,r- Com. CONTRACTOR ADDRESS: STREET 37,z>2. �CIITTY -f- STATE `e.5 - ZIP ties-p CONTRACTOR PHONE: 473 S-- 6 CONTRACTOR EMAiLLen [�a e(�[fi rte._ CONTRACTOR LIC,#(REQUIRED):(.--f,necks I 903 CITY OF EVERETT BUSINESS LIC,#(REQUIRED) 633,7 3 PRIMARY CONTACT: ❑OWNER i SQNTRACTOR W`.0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: LIZ 5-.- g _ Jam' b 3o e C k 0 CONTACT EMAIL: AGREEMENT:T hereby certify that 1 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 lam authorized by the owner of this property to perform the work for which application is made and l comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE PERMIT# Owner/A horize. gent Signature Date (Revised 90/92/2095)