2525 RUCKER AVE 2019-04-16 - Laserfiche WebLink

LECTRICAL PERMIT J!LICATON CITY OF EVERETT PERMIT SERVICES �f' 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov www.everettwa.gov/permits PROJECT SITE 1NFORMVMATION_ PROJECT ADDRESS: 2 S 2 �2d P✓ ,4v� j��,l t- J y'6'ZO BUILDING AREA(if residential,new construction, remodel,or addition) SF • BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED ❑DUPLEX 0 MULTI-FAMILY-#OF UNITS: I) COMMERCIAL USE OF BUILDING: COOS ;�O.NA„� 4%'e ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ '"7/€7O NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES fir-NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: , v,s 1( ube.C. dj-o--ceea nett-2 Wa-be. et 4y7 1h'e eZ (La3,s364-41--- oto I /6 a-✓ v� C�/e--414-,e e Z d2 CONTACT INFORMATION OWNER NAME: vv‘A.1 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 25 Z 5- CITY .. SS CITY 6j/•Gvf-f-/ STATE wld ZIP 9'82 0/ OWNER PHONE: (41I2.5) 129 . . ., OWNER EMAIL: CONTRACTOR NAME: /j 4'YY 1 i7ec/ C LCc CONTRACTOR ADDRESS: STREET QC) 13a)C///6C rCITY ✓!`f' STATE Gc//'�" ZIP E $' CONTRACTOR PHONE:P64 33?—/ 'é'7 CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): 4/1/43"e k5-572.-A/X/ CITY OF EVERETT BUSINESS LIC.#(REQUI ED): PRIMARY CONTACT:,OWNER ❑CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 360); ?��,-/C�6 cy r- /� (360), 000 e.v e�C�t(.vet -VI CONTACT EMAIL: 4//, ori. e4 c 4-i G) 'et 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!am authorized by the owner of this properly to perform the work for which application is made and! comply with the State Contractors Law 98.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE r)..ZDS PERMIT# Ate 3-17AL E1S05 -DSS Owne/Ruth• ized fent . ature Date (Revised 90/92/2095)