5315 SEAHURST AVE 2019-04-17 - Laserfiche WebLink

!LECTRICAL PERMIT APPLICATION 4111 CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT ADDRESS: Sl,OI V I VI Yt 'P/ fx"r , vV A 01(2;1'2_097 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 172 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: GGf J 1 CONTRACT PRICE OF WORK. Sc NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: C 0 GLI-- f c,A lAvwIt' , (3) Pay C V Ot, i is , 'O ant)p) -(-or l'k9v\A-Ino41r-a tea . OWNER NAME: ratio- 1 -O h I11y 'O T{_ PI 1/ TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET �27 I�pt eo V i1 I'S_1 ei /� STATE v V'i* ZIP alc64.-0 17 OWNER PHONE: UV(H OWNER EMAIL: N ( P CONTRACTOR NAME: in -mace viatrio Y 1 CONTRACTOR ADDRESS: STREET 7 O 'I—I lii v- IA �f CITY 2k (_J C /V•V v I J STATE WA6% c Q ZIP CONTRACTOR PHONE: ( 42fl(Q O --3203 CONTRACTOR EMAIL: 1Inelpe,YYY\\1-S �i YY\CIt\ •corn CONTRACTOR LIC.#(REQUIRED): N O\A 0\ 07-'0 Q GI CITY OF EVERETT BUSINESS LIC.#(REQUIRED):0444 PRIMARY CONTACT: 0 OWNER 'CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: /'CL✓ 1W 0 3207, C J CONTACT EMAIL: I tle%Qi f ft e I�Y�U t(� as,vvi AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of lawnd 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 PERMI[tog (0, . /(;1// E ner/Au - Agent Signature Date (Revised 9/23/2016)