6730 TYEE RD 2019-04-17 - Laserfiche WebLink

4-Tr 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 I www.everettwa.gov/permits PROJECTSITE:INFORMATION PROJECT ADDRESS: 141 730 716.17 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; E'L:EC IR1CM PPLICATION,INFORMA ION CONTRACT PRICE OF WORK: $ ` ,,,, O ,e� NUMBER OF DEVICES (if low voltage); FIRE ALARM? ❑YES NO ASSOCIATED BUILDING PERMIT# if a•plireble DESCRIPTION OF WORK: mp OWNER NAME: Owen --t � _. -7 TENANT NAME([F Commercial): OWNER MAILING ADDRESS: STREET 12 3c 7 d ''' eEe ir `� 4: 1er STATE 7 8 K 3 OWNER PHONE: �j �� '�""" ��`i" OWNER EMAIL: CONTRACTOR NAME: C ? CONTRACTOR ADDRESS: STREETg bL 1'5 O adidu STATE \APA- ZIP q3 2c7 CONTRACTOR PHONE: t +It. ♦ CONTRACTOR EMAIL: • ' I / " g j * Ct7NTRACTOI�LIC.�(FiEtauiREta}�C.-�h� � 4 V14 / PRIMARY CONTACT: ❑OWNER r� CONTRACTOR � CITY OF EVERETT BUSINESS LIC.#(RECiUlRED,): 11/209(?) 0OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: Wale CONTACT EMAIL: ci 11 , Vitali •corn AGREEMENT:I hereby certify that t 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 pelt does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construct/on 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(he State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# Owner/Authorized Agent Signature SR Date (Revised 9/23/2016)