2516 VICTOR PL 2019-04-17 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov www.everettwa.gov/permits PKO JEtV 1TE I Nr,Ort141krIoli PROJECT ADDRESS, LS "i Cte,,Ir BUILDING AREA(if residential,new construction,remodel,or addition) _ SF BUILDINGTYP.E: SFR-DETACHED ❑SFR-ATTACHED ❑,DUPLEX ❑MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: CONTRACT PRICE OF WORK: $ ._. 4500 r40 . NUMBER OF DEVICES Of low voltage): FIRE ALARM? ❑YES ;' NO ASSOCIATED BUILDING PERMIT# ifEppIlC ble); rt C OWORK' (may$ y■ OWNER NAME: I. Oho - TENANT NAME{4f Commerclall:. OWNER MAILING ADDRESS: STREET S i t ra CRy ._ STATE ZIP S OWNER PHONE: `f 2 43.4 T S I OWNER EMAIL: CONTRACTOR NAME:_ M INtall 0 9 ),41,5 CONTRACTOR ADDRESS: STREET Qi CITY CONTRACTOR PHONE. 0 e CONTRACTOR EMIL. 'get 0, +' a r #V —-coNTR,Kerron. 951-1 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): /Q PRIMARY CONTACT: 0 OWNER CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CMTACT PHONE; t ) CONTACT EMAIL: .• ; . cool 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 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 f 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 PERMIT# 12.27 1 OWnerlAuthorized Agent Signature; Date (Revised 9/23/2016)